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KMID : 0364020130460020146
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Korean Journal of Thoracic and Cardiovascular Surgery
2013 Volume.46 No. 2 p.146 ~ p.149
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Isolated Bypass to the Superior Mesenteric Artery for Chronic Mesenteric Ischemia
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Jun Hee-Jae
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Abstract
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Mesenteric ischemic symptoms appear only when two of the three major splanchnic arteries from the abdominal aorta are involved. Recently, we encountered a case of chronic mesenteric ischemia in a 50-year-old female patient caused by atherosclerotic obstruction of the celiac trunk and superior mesenteric artery. She was treated with a retrograde bypass graft from the right common iliac artery to the superior mesenteric artery (SMA) in a C-loop configuration. Complete revascularization is recommended for treatment of intestinal ischemia. When the celiac trunk is a not suitable recipient vessel, bypass grafting to the SMA alone appears to be both an effective and durable procedure for treating intestinal ischemia.
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KEYWORD
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Cardiovascular diseases, Chronic mesenteric ischemia, Superior mesenteric artery, Bypass, Surgery
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