title: Extra-Anatomic Axillo-Mesenteric Reconstruction for Chronic Mesenteric Ischemia.
abstract: We present a case of extra-anatomic axillo-mesenteric reconstruction for chronic mesenteric ischemia. Endovascular access and retrograde bypass options were prohibited by severe aortoiliac occlusive disease. Standard antegrade bypass was impossible because of the presence of a thoracoabdominal aortic aneurysm. This unusual method of mesenteric reconstruction is a robust and viable option for patients with challenging anatomy and multiple comorbidities that preclude traditional endovascular and open surgical options.
authors.affiliation: Department of Vascular Surgery, Royal Brisbane and Women's Hospital, Herston, Queensland, Australia.
authors.forename: Lisa L
authors.initials: LL
authors.lastname: Wang
authors.affiliation: Department of Vascular Surgery, Royal Brisbane and Women's Hospital, Herston, Queensland, Australia; Department of Surgery, School of Medicine, University of Queensland, Herston, Queensland, Australia; School of Medicine, Griffith University, Gold Coast, Queensland, Australia. Electronic address: mail@andrewchoong.com.
authors.forename: Andrew M T L
authors.initials: AM
authors.lastname: Choong
authors.affiliation: Department of Vascular Surgery, Royal Brisbane and Women's Hospital, Herston, Queensland, Australia.
authors.forename: Alexandra
authors.initials: A
authors.lastname: Kovalic
authors.affiliation: Department of Vascular Surgery, Royal Brisbane and Women's Hospital, Herston, Queensland, Australia.
authors.forename: Jason
authors.initials: J
authors.lastname: Jenkins
authors.affiliation: Department of Vascular Surgery, Royal Brisbane and Women's Hospital, Herston, Queensland, Australia.
authors.forename: Allan
authors.initials: A
authors.lastname: Kruger
mesh_terms: D000368:Aged; D001027:Aortography / Q000379:methods; D001366:Axillary Artery / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D002908:Chronic Disease; D005260:Female; D006499:Hepatic Artery / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D017538:Mesenteric Artery, Superior / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D065666:Mesenteric Ischemia / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D008641:Mesenteric Vascular Occlusion / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D011138:Polytetrafluoroethylene; D011474:Prosthesis Design; D019651:Plastic Surgery Procedures / Q000295:instrumentation; D012039:Regional Blood Flow; D013152:Splanchnic Circulation; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D011138:Polytetrafluoroethylene