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THE JOURNAL OF CARDIOVASCULAR SURGERY

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The Journal of Cardiovascular Surgery 2001 February;42(1):101-5

Copyright © 2009 EDIZIONI MINERVA MEDICA

language: English

Transient relief of abdominal angina by Wallstent placement into an occluded superior mesenteric artery

Senechal Q., Massoni J. M., Laurian C., Pernes J. M.

From the Service de Radiologie et de Chirurgie Vasculaire Hôpital Saint Joseph, Paris, France


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A 56-­year-old man pre­sented ­with com­plete occlu­sion of the ­superior and infe­rior mes­en­teric ­arteries ­resulting in ­chronic mes­en­teric ­ischemia. ­After a min­imal angio­plasty a Wall­stent was ­inserted ­across the ­superior mes­en­teric ­artery occlu­sion. ­This pro­duced imme­diate clin­ical ­relief, ­with a suc­cessful angio­graphic ­result. ­Eight ­months ­later, an intra­stent occlu­sion ­with ­acute ­bowel infarc­tion was ­treated in emer­gency by saph­e­nous ­vein ­bypass ­graft. ­Despite the ­death of the ­patient a few ­days ­later ­from a ­multivis­ceral ­failure syn­drome, ­this ­method ­seemed to us fea­sible in ­treating a chron­i­cally ­occluded SMA in ­patients ­with ­high oper­a­tive ­risk.

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