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Med J Bakirkoy. 2014; 10(1): 33-36


Revascularization of all three mesenteric vessels with open surgery in chronic mesenteric ishemia

Mehmet Ali Şahin, Artan Jahollari, Adem Güler, Faruk Cingöz, Gökhan Yağcı, Vugar Hasanov, Mehmet Arslan.

Abstract
Chronic mesenteric ischemia is frequently misdiagnosed, and due to delayed treatment it is a life threatening disorder. Different effective treatment modalities exist, such as endovascular repair or open surgery. Selection of the revascularization procedure is often related to the center experience. We present a case that underwent revascularization of all three mesenteric vessels, after occlusion of the stents implanted previously in superior and inferior mesenteric arteries. Successful revascularization of the three main visceral branches was achieved and the patient was discharged uneventfully. Control computerized tomography angiography 3 months after the procedure revealed patent grafts, while the patient remained symptom free.

Key words: Chronic mesenteric ischemia, endovascular treatment, open surgery



Kronik mezenterik iskemide tüm mezenterik damarların revaskülarizasyonu

Özet
Kronik mezenterik iskemi sıklıkla yanlış tanı konulan ve gecikmiş tedaviye bağlı olarak yaşamı tehdit eden bir tablodur. Endovasküler tedavi ve açık cerrahi tedavi gibi farklı ve etkin tedavi seçenekleri vardır. Tedavi seçimi genellikle merkezlere göre değişmektedir. Bu yazıda inferior ve superior mezenterik arterlere önceden implante edilen stentlerde oklüzyon gelişmesi nedeniyle, üç mezenterik artere bypas uyguladığımız bir olguyu sunduk. Hastanın üç mezenter arterine başarıyla revaskülarizasyon işlemi uygulandı ve hasta komplikasyonsuz olarak taburcu edildi. Cerrahi tedaviden üç ay sonra kontrol amacıyla çekilen bilgisayarlı tomografik anjiografide greftlerin açık olduğu görüldü.

Anahtar Kelimeler: Kronik mezenterik iskemi, endovasküler tedavi, açık cerrahi



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