A Case of Surgical Revascularization for Abdominal Angina
10.4326/jjcvs.41.8
- VernacularTitle:腹部アンギーナに対する血行再建術の1例
- Author:
Akira Furutachi
;
Hitoshi Ohteki
;
Kozo Naito
;
Junichi Murayama
;
Masanori Takamatsu
- Publication Type:Journal Article
- Keywords:
abdominal angina;
MDCT;
flow meter®
- From:Japanese Journal of Cardiovascular Surgery
2012;41(1):8-11
- CountryJapan
- Language:Japanese
-
Abstract:
A 68-year-old woman with multiple gastric ulcers was admitted to our hospital due to post-prandial abdominal pain. Multirow detector computed tomography (MDCT) showed severe stenoses of both the celiac trunk and superior mesenteric artery (SMA) ; therefore, we decided to operate based on the presumed diagnosis of abdominal angina. We bypassed the stenoses using a saphenous vein graft from the right external iliac artery to the SMA, distal to the stenosis. The patient was symptom-free postoperatively. In summary, this case of abdominal angina was accurately evaluated preoperatively with MDCT and the flow meter®. Thereafter, a focal stenosis in the superior mesenteric artery was successfully treated with an external iliac-SMA bypass using a saphenous vein graft.
