Surgical treatment of chronic mesenteric ischemia with splenic artery-to-superior mesenteric artery bypass: A case report


Nazli Y., Çolak N., Sahin H., AKIN K., Akkaya I. O., Bozer M., ...Daha Fazla

Turkish Journal of Thoracic and Cardiovascular Surgery, cilt.21, sa.2, ss.463-466, 2013 (SCI-Expanded) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 21 Sayı: 2
  • Basım Tarihi: 2013
  • Doi Numarası: 10.5606/tgkdc.dergisi.2013.5292
  • Dergi Adı: Turkish Journal of Thoracic and Cardiovascular Surgery
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.463-466
  • Anahtar Kelimeler: Bypass, chronic mesenteric ischemia, splenic artery, superior mesenteric artery
  • Lokman Hekim Üniversitesi Adresli: Hayır

Özet

Chronic mesenteric ischemia is a rare, but important cause of abdominal pain with high mortality and morbidity rates. Postprandial abdominal pain, sitophobia and weight loss are the important clinical signs and symptoms. The main goal of the treatment is to relieve patient's symptoms by restoration of intestinal perfusion and to prevent intestinal necrosis. Doppler ultrasound, computed tomography angiography, magnetic resonance angiography and conventional angiography are used in the diagnosis of chronic mesenteric ischemia. Surgical or endovascular interventions as well as medical therapy may be used in the treatment of chronic mesenteric ischemia. In this article, we present a 60-year-old female case of chronic mesenteric ischemia with inferior and superior mesenteric artery occlusion, who was successfully treated with splenic arteryto- superior mesenteric artery bypass surgery.