title: [Surgical treatment of chronic intestinal ischemia associated with combined valvular disease].
abstract: 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.
authors.affiliation: Department of Cardiovascular Surgery, Sendai City Medical Center, Japan.
authors.forename: K
authors.initials: K
authors.lastname: Miura
authors.forename: Y
authors.initials: Y
authors.lastname: Moizumi
authors.forename: T
authors.initials: T
authors.lastname: Nakame
authors.forename: M
authors.initials: M
authors.lastname: Hata
authors.forename: Y
authors.initials: Y
authors.lastname: Abe
authors.forename: K
authors.initials: K
authors.lastname: Miyagawa
mesh_terms: 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