title: Stent implantation for mesenteric bypass graft stenosis.
abstract: OBJECTIVE
  To present a case of symptomatic mesenteric bypass graft stenosis treated with Palmaz stent implantation.
  
  
  RESULTS
  A 65-year-old man with a history of mesenteric ischemia and superior mesenteric artery (SMA) occlusion presented with recurrent symptoms 3 years after Dacron graft revision surgery for occlusion of a venous aorto-SMA bypass graft. Graft thrombectomy revealed a tortuous segment of narrowed graft proximally, and a Palmaz stent was deployed across the defect. Adequate flow was restored through the conduit, and the patient has remained asymptomatic for 2 years.
  
  
  CONCLUSIONS
  Mesenteric ischemia is a rare and potentially fatal condition requiring major vascular intervention. Revision surgery may be avoided by angioplasty and stent insertion across flow-limiting stenoses, even in prosthetic grafts.
authors.affiliation: Department of Vascular Surgery, St. James's and Seacroft University Hospitals, Leeds, England, UK.
authors.forename: L H
authors.initials: LH
authors.lastname: Phipp
authors.forename: D J
authors.initials: DJ
authors.lastname: Scott
authors.forename: D
authors.initials: D
authors.lastname: Kessel
authors.forename: I
authors.initials: I
authors.lastname: Robertson
mesh_terms: D000368:Aged; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects; D006083:Graft Occlusion, Vascular / Q000000981:diagnostic imaging / Q000628:therapy*; D006801:Humans; D008297:Male; D017538:Mesenteric Artery, Superior / Q000000981:diagnostic imaging; D008641:Mesenteric Vascular Occlusion / Q000000981:diagnostic imaging / Q000601:surgery; D011859:Radiography; D012008:Recurrence; D015607:Stents