[An unusual case of atherosclerotic aneurysm of the trunk of the superior mesenteric artery, successfully treated with surgery].
A case of atherosclerotic aneurysm of the superior mesenteric artery is reported. This was located about 15 cm from its origin and immediately distal to the middle colic artery in a patient who had been operated on 4 years previously with aorto-iliac substitution for aneurysm of the same nature with ligature and section of the inferior mesenteric artery at the origin. Interruption of the latter created further technical problems solved with a serie of anastomoses that permitted the introduction of a good direct flow from the superior mesenteric respectively to the right colic and into an ileal branch which became a bridge or, rather, a "new mesenteric" assuring excellent pulsed flow into the underlying ileal branches, one of which anastomized at the ileocolic. This enabled direct, valid, pulsed flow to be resumed.
D000368:Aged; D000783:Aneurysm / Q000209:etiology / Q000601:surgery*; D001161:Arteriosclerosis / Q000150:complications*; D006801:Humans; D008297:Male; D008638:Mesenteric Arteries
Di un caso non comune di aneurisma aterosclerotico del tronco dell'arteria mesenterica superiore, operato con successo.