Open AccessProphylactic Revascularization of the Gut
Author(s) -
John E. Connolly,
Jack H. M. Kwaan
Publication year - 1979
Publication title -
annals of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 4.153
H-Index - 309
eISSN - 1528-1140
pISSN - 0003-4932
DOI - 10.1097/00000658-197910000-00011
Subject(s) - medicine , revascularization , superior mesenteric artery , anastomosis , inferior mesenteric artery , concomitant , surgery , mesenteric arteries , celiac artery , radiology , artery , cardiology , myocardial infarction
Reconstitution of the mesenteric vascular circulation, in our experience, is advisable when advanced occlusive disease is noted on the preoperative arteriogram of patients selected for aortoiliofemoral, renal artery, or aortic aneurysm surgery. A lateral aortogram is mandatory, and the presence of an anastomotic meandering mesenteric artery on frontal arteriogram is especially valuable in signaling significant disease. This is the first report of prophylactic concomitant revascularization of compromised mesenteric vessels during aortic reconstructive procedures on selected patients. It is our opinion that such an approach can be a significant deterrent to subsequent catastrophic bowel infarction from mesenteric arterial occlusive disease.