[Subrenal aortic insertion of a synthetic prosthesis].
The problem of "high" proximal insertion at the inferior mesenteric of the synthetic prosthesis in obstructive aorto-iliaco-femoral atherosclerotic pathology is considered. In the light of 3 cases of pseudoaneurysm of the aortic wall, occurring 10, 9 and 7 years after the operation, and hence of problems that presented for the restoration of arterial continuity, distal implantation at the inferior mesenteric is preferred today with a generally end-to-end anastomosis after "cleaning" of the aorta upstream. Disobliteration is therefore avoided. The inferior mesenteric is kept patent if possible by disobliterating it and reimplanting it on the prosthesis, depending of the situation.
Tardito
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Istituto di Semeiotica Chirurgica, Università degli Studi di Milano.
D000368:Aged; D000714:Anastomosis, Surgical; D001012:Aorta, Abdominal / Q000601:surgery*; D001161:Arteriosclerosis / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged
L'inserzione aortica sottorenale della protesi sintetica.