Inferior Mesenteric Artery Aneurysm Complicated With Occluded Celiac and Superior Mesenteric Artery After Replacement of Thoracoabdominal Aorta for Chronic Dissected Thoracoabdominal Aortic Aneurysm

Takashi Igarashi; Akihiro Yamamoto; Tsuyoshi Fujimiya; Shinya Takase; Hirono Satokawa; Hitoshi Yokoyama

doi:10.1016/j.avsg.2017.04.010

Inferior Mesenteric Artery Aneurysm Complicated With Occluded Celiac and Superior Mesenteric Artery After Replacement of Thoracoabdominal Aorta for Chronic Dissected Thoracoabdominal Aortic Aneurysm

Ann Vasc Surg. 2017 Oct:44:420.e7-420.e10. doi: 10.1016/j.avsg.2017.04.010. Epub 2017 May 4.

Authors

Takashi Igarashi¹, Akihiro Yamamoto², Tsuyoshi Fujimiya², Shinya Takase², Hirono Satokawa², Hitoshi Yokoyama²

Affiliations

¹ Department of Cardiovascular Surgery, Fukushima Medical University, Fukushima, Japan. Electronic address: igao5150@fmu.ac.jp.
² Department of Cardiovascular Surgery, Fukushima Medical University, Fukushima, Japan.

PMID: 28479427
DOI: 10.1016/j.avsg.2017.04.010

Abstract

We report a case of inferior mesenteric artery aneurysm (IMAA) after the replacement of the thoracoabdominal aorta for a chronic dissected thoracoabdominal aortic aneurysm in which the celiac artery and superior mesenteric artery were occluded. We performed the resection of the IMAA and the revascularization of the superior mesenteric artery, inferior mesenteric artery, and meandering artery. The patient's postoperative course was uneventful, without bowel ischemia. From the findings of intraoperative flow measurement of the visceral arteries, revascularization of the superior mesenteric artery was judged to be appropriate in this situation.

Publication types

Case Reports

MeSH terms

Aged
Aneurysm / diagnostic imaging
Aneurysm / etiology*
Aneurysm / physiopathology
Aneurysm / surgery
Aortic Aneurysm, Thoracic / diagnostic imaging
Aortic Aneurysm, Thoracic / surgery*
Aortic Dissection / diagnostic imaging
Aortic Dissection / surgery*
Aortography / methods
Blood Vessel Prosthesis Implantation / adverse effects*
Celiac Artery* / diagnostic imaging
Celiac Artery* / physiopathology
Celiac Artery* / surgery
Collateral Circulation
Computed Tomography Angiography
Constriction, Pathologic
Humans
Male
Mesenteric Artery, Inferior* / diagnostic imaging
Mesenteric Artery, Inferior* / surgery
Mesenteric Artery, Superior* / diagnostic imaging
Mesenteric Artery, Superior* / physiopathology
Mesenteric Artery, Superior* / surgery
Mesenteric Vascular Occlusion / diagnostic imaging
Mesenteric Vascular Occlusion / etiology*
Mesenteric Vascular Occlusion / physiopathology
Mesenteric Vascular Occlusion / surgery
Splanchnic Circulation
Treatment Outcome
Vascular Patency