scholarly journals The simultaneous revascularization method of celiac axis, superior mesenteric artery, left renal artery, right common iliac artery and left superficial femoral artery - A case report.

1989 ◽  
Vol 18 (5) ◽  
pp. 679-681
Author(s):  
M. Tomikawa
Keyword(s):  
Case Report ◽  
Renal Artery ◽  
Superior Mesenteric Artery ◽  
Femoral Artery ◽  
Iliac Artery ◽  
Superficial Femoral Artery ◽  
Mesenteric Artery ◽  
Common Iliac Artery ◽  
Celiac Axis ◽  
Left Renal Artery

scholarly journals Extra-anatomic Bypass from Right Common Iliac Artery for Superior Mesenteric Artery Thrombosis in a Post-thrombectomy Patient: A Case Report

2011 ◽  
Vol 75 (S1) ◽  
pp. 15-17
Author(s):  
Keshav Konath Nambiar ◽  
Arjun Konath Nambiar ◽  
K. T. Anand ◽  
P. Sathyamoorthy Aithal ◽  
Jayakrishnan A. Gosalakkal
Keyword(s):  
Case Report ◽  
Superior Mesenteric Artery ◽  
Iliac Artery ◽  
Mesenteric Artery ◽  
Common Iliac Artery ◽  
Artery Thrombosis

scholarly journals SYSTEMIC VASCULITIS WITH LESION OF LARGE VESSELS AS A CAUSE OF ART ERIAL HYPERT ENSION IN A PATIENT OF YOUNG AGE

The Clinician ◽  
2018 ◽  
Vol 12 (1) ◽  
pp. 43-50
Author(s):  
D. Yu. Andriyashkina ◽  
N. A. Demidova ◽  
N. А. Shostak ◽  
D. A. Somov ◽  
М. A. Laperishvili
Keyword(s):  
Renal Artery ◽  
Superior Mesenteric Artery ◽  
Female Patient ◽  
Mesenteric Artery ◽  
Left Kidney ◽  
Celiac Trunk ◽  
Heterozygous Mutation ◽  
Left Renal Artery ◽  
Moderate Activity ◽  
Negative Consequences

Objective:to analyze and present a clinical case of late diagnosis of Takayasu’s arteritis in a young female patient with long-term arterial hypertension.Materials and methods.The female patient G., born in 1989, had noted elevated arterial pressure (AP) of 150/90 mm Hg since she was 14. At 21 the following diagnosis was stated: Fibro-muscular dysplasia, stenosis of the left renal artery. Stenosis of the celiac trunk. Aneurisms of the branches of the superior mesenteric artery; prosthesis of the left renal artery was performed. Since the beginning of 2016, the patient has noted elevated AP of 200/110 mm Hg despite continuing hypotensive therapy. Diagnosis of Nonspecific aortoarteritis was proposed in May of 2017. Methylprednisolone therapy was administered: 250 mg No. 2 intravenously, Prednisolone: 25 mg a day orally. Due to signs of decreased blood flow to the left kidney, in August of 2017 extracorporeal repeat prosthesis of the left renal artery, bypass of the right middle renal artery with reversed autovein were performed.Results.During examination in October of 2017, the patient complained of weakness, frequent elevated AP of 200/110 mm Hg. In blood test: hemoglobin 106 g/l, erythrocyte sedimentation rate 38 mm/h, C-reactive protein 25 mg/l. A heterozygous mutation in the methylenetetrahydropholate reductase, a heterozygous mutation in the factor V gene (G1691A) were identified. Homocysteine level was normal, infection and oncological pathology were excluded. The following diagnosis was made: Takayasu»s arteritis type IV affecting the aorta and its branches, moderate activity. Occlusion of the celiac trunk. Aneurisms of the branches of the superior mesenteric artery. Critical stenosis of the left renal artery. Thrombosis of the aorto-renal prosthesis. Hypoplasia of the left kidney. Prednisolone 50 mg a day, metoprolol 50 mg a day, valsartan 160 mg a day, acetylsalicylic acid 100 mg a day were prescribed.Conclusion.The presented clinical observation shows the importance of comprehensive examination of young patients complaining of elevated AP for many years. Due to untimely diagnosis and absence of pathogenetic therapy, the patient suffered negative consequences of surgical treatment.

Physician-Modified Endograft With Inner Branches for the Treatment of Complex Aortic Urgencies

2021 ◽  
pp. 152660282110612
Author(s):  
Jose Torrealba ◽  
Giuseppe Panuccio ◽  
Tilo Kölbel ◽  
Thomas Gandet ◽  
Franziska Heidemann ◽  
...  
Keyword(s):  
Renal Artery ◽  
Superior Mesenteric Artery ◽  
Ct Angiography ◽  
Mesenteric Artery ◽  
Celiac Trunk ◽  
Aortic Aneurysms ◽  
Left Renal Artery ◽  
Thoracoabdominal Aorta ◽  
First Case ◽  
Juxtarenal Aneurysm

Purpose To describe the use of physician-modified endograft (PMEG) with the exclusive use of inner branches or in combination with fenestrations for the urgent treatment of complex aortic aneurysms. Technique We present two urgent cases. A patient with a 6.8 cm saccular juxtarenal aneurysm and another patient with a contained rupture of the thoracoabdominal aorta right above the celiac trunk (CT). In both cases, a Cook Zenith TX2 thoracic endograft was back-table modified, in the first case by adding three fenestrations and one inner branch for the left renal artery to improve sealing due to its partial involvement in the aneurysm and, in the second case, with the use of two inner branches for the CT and superior mesenteric artery. Both procedures were successful, with uneventful postoperative courses and complete aneurysm exclusion on postoperative CT angiography. Conclusion Use of PMEGs with inner branches is feasible for urgent repair in complex aortic anatomy.

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