[Surgical treatment of chronic intestinal ischemia associated with combined valvular disease].
A 69-year-old male was admitted with congestive heart failure and postprandial abdominal pain with weight loss. Combined valvular disease (MR III+TR III) was demonstrated by cardiac catheterization. Selective visceral arteriography revealed 75% stenosis at the origin of SMA and common hepatic artery arose beyond the stenosis. SMA-abdominal aortic bypass grafting using auto-saphenous vein graft was performed initially. Postprandial abdominal pain disappeared after bypass grafting, and then MVR with Björk-Shiley mechanical valve and TAP with Carpentier- Edwards ring was performed.
Miura
K
K
Department of Cardiovascular Surgery, Sendai City Medical Center, Japan.
Moizumi
Y
Y
Nakame
T
T
Hata
M
M
Abe
Y
Y
Miyagawa
K
K
D000368:Aged; D001157:Arterial Occlusive Diseases / Q000150:complications; D002908:Chronic Disease; D006350:Heart Valve Prosthesis; D006801:Humans; D007422:Intestines / Q000098:blood supply*; D007511:Ischemia / Q000209:etiology / Q000601:surgery*; D008297:Male; D008638:Mesenteric Arteries; D008944:Mitral Valve Insufficiency / Q000150:complications* / Q000601:surgery; D014262:Tricuspid Valve Insufficiency / Q000150:complications* / Q000601:surgery