Stent implantation for mesenteric bypass graft stenosis.
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.
Phipp
L H
LH
Department of Vascular Surgery, St. James's and Seacroft University Hospitals, Leeds, England, UK.
Scott
D J
DJ
Kessel
D
D
Robertson
I
I
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