title: Piggy-back mesenteric arterial reconstruction.
abstract: Reimplantation of stenotic or occluded visceral arteries into the aorta is one solution to symptomatic chronic visceral ischemia. We report a patient in whom the associated problem of small bowel infarction precluded prosthetic reconstruction and saphenous vein was unavailable. Reimplantation of the celiac artery into the aorta was combined with piggy-back reimplantation of the superior mesenteric artery into the side of the celiac artery to provide successful revascularization of the small bowel. A 16-month angiographic and 5-year clinical follow-up is provided.
authors.affiliation: Department of Surgery, Harvard Medical School, Boston, MA.
authors.forename: J J
authors.initials: JJ
authors.lastname: Skillman
authors.forename: D
authors.initials: D
authors.lastname: Orron
authors.forename: K C
authors.initials: KC
authors.lastname: Kent
authors.forename: D
authors.initials: D
authors.lastname: Kim
mesh_terms: D000368:Aged; D001011:Aorta / Q000601:surgery*; D001027:Aortography; D002445:Celiac Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007238:Infarction / Q000601:surgery; D007421:Intestine, Small / Q000098:blood supply*; D008638:Mesenteric Arteries / Q000000981:diagnostic imaging / Q000601:surgery*; D008641:Mesenteric Vascular Occlusion / Q000601:surgery*; D012092:Replantation / Q000379:methods*