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THE JOURNAL OF CARDIOVASCULAR SURGERY

Rivista di Chirurgia Cardiaca, Vascolare e Toracica


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

lingua: Inglese

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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