CASE REPORTS  VASCULAR PAPERS 

The Journal of Cardiovascular Surgery 2000 October;41(5):763-6

Copyright © 2009 EDIZIONI MINERVA MEDICA

language: English

Superior mesenteric and renal artery embolism during PTA and re-stenting of infrarenal abdominal aorta. Report of a case and review of the literature

Rispoli P., Conforti M., Melloni C., Barile G., Raso A. M.

From the Department of Medical and Surgical Disciplines of the University of Turin University Vascular Surgery Unit Post Graduate School of Vascular Surgery, Turin, Italy

The ­authors ­report a ­case of ­acute ­superior mes­en­teric and ­right ­renal ­artery embo­lism ­that ­occurred ­during an inter­ven­tional radio­log­ical pro­ce­dure on the abdom­inal ­aorta of a ­young dia­betic ­woman. The ­onset of a ­severe abdom­inal ­pain ­during the pro­ce­dure ­evoked the clin­ical sus­pi­cion of intes­tinal ­ischemia ­related to the dis­lodge­ment of ather­oem­bolic mate­rial ­into the mes­en­teric ­artery; the ­event was cor­rectly diag­nosed, but the sur­gical ­therapy was ­delayed by ­many ­hours ­because of the ­fact ­that the ­patient was in a periph­eral hos­pital of the ­region and had to be trans­ferred to our insti­tu­tion. For­tu­nately in ­spite of the con­sid­er­able ­delay, the oper­a­tion was ­fully suc­cessful, prob­ably ­because of the favour­able loca­tion of the ­embolus, ­which ­allowed col­lat­eral ­splanchnic cir­cu­la­tion to main­tain a ­good meta­bolic bal­ance.