Retrograde aorto-mesenteric by-pass grafting as treatment option of recurrent chronic mesenteric ischemia after thrombosed superior mesenteric artery stenting. Report of a case.
We report a case of early stent failure in a patient with chronic mesenteric ischemia and its treatment with a retrograde aorto-mesenteric by-pass. The patient was initially treated with angioplasty and stenting. Seven months after the procedure complete thrombosis of the stent was achieved. A retrograde aorto-mesenteric by-pass was performed. After two years the patient remains asymptomatic and color Duplex scan confirm the patency of the graft.
Nano
G
G
1st Unit of Vascular Surgery, School of Vascular Surgery, Istituto Policlinico San Donato, University of Milan, Milan, Italy.
Dalainas
I
I
Bianchi
P
P
Stegher
S
S
Casana
R
R
Malacrida
G
G
Tealdi
D G
DG
D000368:Aged; D000792:Angiography; D000800:Angioplasty, Balloon; D001012:Aorta, Abdominal / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007813:Laparotomy; D017538:Mesenteric Artery, Superior / Q000000981:diagnostic imaging / Q000601:surgery*; D008641:Mesenteric Vascular Occlusion / Q000000981:diagnostic imaging / Q000601:surgery / Q000628:therapy*; D012008:Recurrence; D015607:Stents / Q000009:adverse effects; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery / Q000628:therapy*; D013997:Time Factors; D016896:Treatment Outcome; D018615:Ultrasonography, Doppler, Color