Endovascular treatment of recurrent mesenteric ischemia after aortomesenteric bypass

Abstract

A 71-year-old male patient was admitted to our clinic with abdominal pain, anorexia, nausea, vomiting and weight loss. Physical examination revealed abdominal tenderness and rebound with hypoactive bowel sounds. Abdominal computed tomography showed that the origin of the superior mesenteric artery and proximal was occluded at a 2-cm segment level. The patient underwent surgery due to the presence of acute abdominal findings and the judgment of the interventional radiologist regarding the unability to open the occlusion angiographically. It was bypassed between superior mesenteric artery and infrarenal aorta with a saphenous vein. Abdominal computed tomography was repeated at one month due to the recurrence of the patient complaints. Angiography was performed due to saphenous graft occlusion in tomography scan. A stent was placed in inferior mesenteric artery with the guide of angiography. The patient is normal except for vague abdominal pain in the first month of the procedure.