Nontraumatic mesenteric vascular emergencies

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Presentation transcript:

Nontraumatic mesenteric vascular emergencies John J. Bergan, M.D., Walter J. McCarthy, M.D., William R. Flinn, M.D., James S.T. Yao, M.D., Ph.D. Journal of Vascular Surgery Volume 5, Issue 6, Pages 903-909 (June 1987) DOI: 10.1016/0741-5214(87)90123-6 Copyright © 1987 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 1 Lateral abdominal aortogram shows lumbar and renal artery arborizations but fails to show any evidence of patency of the celiac axis, superior mesenteric artery, or inferior mesenteric artery. Journal of Vascular Surgery 1987 5, 903-909DOI: (10.1016/0741-5214(87)90123-6) Copyright © 1987 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 2 Patency of the main trunk of the superior mesenteric artery, as shown in this selective injection, excludes embolic and thrombotic occlusion of the mesenteric artery. Extreme attenuation of intestinal arteries and branching vessels is caused by arteriospasm, which in turn causes profound mesenteric ischemia. Journal of Vascular Surgery 1987 5, 903-909DOI: (10.1016/0741-5214(87)90123-6) Copyright © 1987 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 3 In this aortogram that shows a juxtarenal aortic occlusion, evidence of acute mesenteric embolization and left renal artery embolization are seen clearly. Aortic occlusion arises from a failed aortofemoral graft in a patient with treated lymphoma and coagulopathy. Journal of Vascular Surgery 1987 5, 903-909DOI: (10.1016/0741-5214(87)90123-6) Copyright © 1987 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions