Combined myocardial and mesenteric surgical revascularization.
Chronic mesenteric ischemia is a rare disorder that is frequently associated with coronary artery disease. Myocardial ischemia is a leading cause of morbidity and mortality after revascularization of the splanchnic arteries. The optimal treatment of concomitant chronic mesenteric ischemia and myocardial ischemia is unknown. We report a case of this condition in a 57-year-old man who required revascularization of both the left anterior descending coronary and superior mesenteric arteries with venous grafts anastomosed to the ascending aorta. The patient remains asymptomatic after a 3-year follow-up. This good result argues for one-stage combined myocardial and mesenteric revascularization in selected symptomatic patients.
Kindo
Michel
M
Department of Cardiovascular Surgery, Hôpital Civil, Strasbourg, France.
Mommerot
Arnaud
A
Maxant
Guillaume
G
Giron
Georges
G
Arguello
Mario
M
Eisenmann
Bernard
B
D001026:Coronary Artery Bypass / Q000379:methods; D003331:Coronary Vessels / Q000601:surgery; D006801:Humans; D007511:Ischemia / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D008297:Male; D017538:Mesenteric Artery, Superior / Q000601:surgery; D008643:Mesentery / Q000098:blood supply*; D008875:Middle Aged; D017202:Myocardial Ischemia / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D009204:Myocardial Revascularization / Q000379:methods