A Surgical Case of an Abdominal Aortic Aneurysm With a Meandering Inferior Mesenteric Artery due to Superior Mesenteric Artery Occlusion

A 78-year-old man was diagnosed with an abdominal aortic aneurysm with a meandering mesenteric artery. We performed abdominal aortic replacement and inferior mesenteric artery reconstruction using intraoperative inferior mesenteric artery perfusion during surgery. A 4-Fr arterial sheath was inserted...

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Bibliographic Details
Main Authors: Shun Hiraga, Takehisa Abe, Ryohei Fukuba, Junichi Takemura, Rei Tonomura, Sayaka Tamada, Kazuhiro Mitani, Mitsuharu Hosono
Format: Article
Language:English
Published: Wiley 2025-01-01
Series:Case Reports in Vascular Medicine
Online Access:http://dx.doi.org/10.1155/crvm/7322019
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Summary:A 78-year-old man was diagnosed with an abdominal aortic aneurysm with a meandering mesenteric artery. We performed abdominal aortic replacement and inferior mesenteric artery reconstruction using intraoperative inferior mesenteric artery perfusion during surgery. A 4-Fr arterial sheath was inserted into the left brachial artery, and a 10-Fr balloon catheter was inserted into the inferior mesenteric artery for perfusion. The intraoperative intestinal blood flow was satisfactory, and the patient’s postoperative course was favorable. This method was an easy and effective option for abdominal aortic surgery in patients with a meandering mesenteric artery.
ISSN:2090-6994