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THE JOURNAL OF CARDIOVASCULAR SURGERY
Rivista di Chirurgia Cardiaca, Vascolare e Toracica
Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
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CASE REPORTS VASCULAR AND ENDOVASCULAR PAPERS
The Journal of Cardiovascular Surgery 2001 Febbraio;42(1):101-5
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
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.