Superficial femoral artery transposition repair for isolated superior mesenteric artery dissection Jean Picquet, MD, Oscar Abilez, MD, Julien Pénard,

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Presentation transcript:

Superficial femoral artery transposition repair for isolated superior mesenteric artery dissection Jean Picquet, MD, Oscar Abilez, MD, Julien Pénard, MD, Yann Jousset, MD, Marie Christine Rousselet, MD, Bernard Enon, MD Journal of Vascular Surgery Volume 42, Issue 4, Pages 788-791 (October 2005) DOI: 10.1016/j.jvs.2005.05.048 Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

Fig 1 Contrast computed tomography (CT) suggests the diagnosis of isolated superior mesenteric artery (SMA) dissection and shows the enlarged SMA wall (black arrow). Partial infarction of the left kidney is also seen (white arrow). Journal of Vascular Surgery 2005 42, 788-791DOI: (10.1016/j.jvs.2005.05.048) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

Fig 2 A. A preoperative selective angiogram of the superior mesenteric artery (SMA) shows a long stenosis due to the isolated dissection of the SMA, absence of the inferior duodeno-pancreatic arcade, and small bowel malperfusion. B, Preoperative selective renal angiogram shows a right renal artery stenosis with poststenotic dilatation and a dissection beginning at the poststenotic dilatation of the right renal artery (arrow). Journal of Vascular Surgery 2005 42, 788-791DOI: (10.1016/j.jvs.2005.05.048) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

Fig 3 Three-month postoperative angiogram demonstrates patency of the anatomic reconstruction of the superior mesenteric artery (SMA) by using the superficial femoral artery. Longs arrows show the proximal and distal end-to-end anastomoses of the arterial graft. Short arrows show good distal perfusion of the small bowel. The significant tapering of the mid portion of the graft is probably a spasm or an artifact. Journal of Vascular Surgery 2005 42, 788-791DOI: (10.1016/j.jvs.2005.05.048) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

Fig 4 Pathology image (Gordon-Sweet’s silver stain, ×20 original magnification) demonstrates the fully dissected superior mesenteric artery between the media and the adventitia. TL, True lumen; FL, false lumen. Journal of Vascular Surgery 2005 42, 788-791DOI: (10.1016/j.jvs.2005.05.048) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions