Mesenteric vascular insufficiency and claudication following acute dissecting thoracic aortic aneurysm Thomas H. Cogbill, M.D., A.Erik Gundersen, M.D.,

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Presentation transcript:

Mesenteric vascular insufficiency and claudication following acute dissecting thoracic aortic aneurysm Thomas H. Cogbill, M.D., A.Erik Gundersen, M.D., Renato Travelli, M.D. Journal of Vascular Surgery Volume 2, Issue 3, Pages 472-476 (May 1985) DOI: 10.1016/0741-5214(85)90105-3 Copyright © 1985 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 1 Thoracic aortogram demonstrating intraluminal aortic prosthesis (black arrow) within true lumen and adjacent false channel distally (white arrow). Journal of Vascular Surgery 1985 2, 472-476DOI: (10.1016/0741-5214(85)90105-3) Copyright © 1985 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 2 Posteroanterior view of upper abdominal aortogram delineating filling of superior mesenteric artery and right renal artery from tapered true lumen (arrow). Celiac axis vessels fill in retrograde fashion from superior mesenteric artery. Journal of Vascular Surgery 1985 2, 472-476DOI: (10.1016/0741-5214(85)90105-3) Copyright © 1985 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 3 Lateral abdominal aortogram demonstrates filling of superior mesenteric artery (SMA) and right renal artery from true lumen of aorta. Origin of celiac axis is completely obliterated (arrow). Journal of Vascular Surgery 1985 2, 472-476DOI: (10.1016/0741-5214(85)90105-3) Copyright © 1985 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 4 Composite diagrammatic representation of aortographic findings indicating double-channel deformity of thoracoabdominal aorta with total occlusion of left iliac, celiac, and inferior mesenteric arteries. Patent false channel is shaded. Journal of Vascular Surgery 1985 2, 472-476DOI: (10.1016/0741-5214(85)90105-3) Copyright © 1985 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 5 Diagram of procedure demonstrating end-to-end aortobi-iliac bypass graft with additional limb from graft to common hepatic artery. Proximal anastomosis is reinforced with Teflon pledgets. Journal of Vascular Surgery 1985 2, 472-476DOI: (10.1016/0741-5214(85)90105-3) Copyright © 1985 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 6 Intravenous digital subtraction aortogram performed 16 months after reconstruction. A, Double-channel aorta persists distal to intraluminal prosthesis. B, Patency of hepatic limb (white arrows) and both iliac limbs (black arrows) of abdominal aortic graft is confirmed. Journal of Vascular Surgery 1985 2, 472-476DOI: (10.1016/0741-5214(85)90105-3) Copyright © 1985 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions