+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Celiac axis, superior mesenteric artery, and inferior mesenteric artery occlusion: surgical considerations



Celiac axis, superior mesenteric artery, and inferior mesenteric artery occlusion: surgical considerations



Surgery 82(6): 856-866



Occlusion of the celiac, superior mesenteric, and inferior mesenteric artery has been studied in 46 patients treated by operation. The condition was acute and was caused by embolic obstruction of the superior mesenteric artery in four cardiac patients and detachment of the inferior mesenteric artery in two patients during removal of infrarenal abdominal aortic aneurysms. The condition was chronic and involved two or all three of the vessels in 40 patient. Embolic obstruction caused severe abdominal pain but few physical signs early in the process,, but the picture of an acute abdomen indicating bowel gangrene developed in a few hours. Ischemia from inferior mesenteric detachment was observed at operation. Patients with chronic obstruction had abdominal pain, weight loss, and diarrhea. Patients with embolic obstruction were treated successfully by embolectomy, and patients developing intraoperative sigmoid ischemia were treated by reattachment of inferior mesenteric arteries to aortic graft. Various procedures were employed in patients with chronic multiple obstruction. However, graft bypass using Dacron tubing was preferable because of its simplicity and because the frequently (48%) associated occlusive disease and aneurysm of the distal aorta were treated at the same time. Confining operation to the abdomen significantly reduced the magnitude of operation and eliminated risks in this age group. Of the 46 patients, 91% survived and were relieved of their symptoms despite associated disease. The 5-year survival rate in this group of patients was 62%.

Please choose payment method:






(PDF emailed within 1 workday: $29.90)

Accession: 004890631

Download citation: RISBibTeXText

PMID: 145029


Related references

Aneurysm of the inferior mesenteric artery associated with occlusion of the celiac axis and superior mesenteric artery. Annals of Vascular Surgery 1(2): 254-257, 1986

Occlusion of the celiac trunk, the inferior mesenteric artery and stenosis of the superior mesenteric artery in peripheral thrombangiitis obliterans. Vasa. Zeitschrift für Gefasskrankheiten 38(4): 394-396, 2010

Intestinal obstruction caused by stenosis of the celiac artery and the superior and inferior mesenteric artery. Surgical correction of the obstruction of the superior mesenteric artery. Lyon Medical 213(16): 1177-1181, 1965

Inferior Mesenteric Artery Stenting as a Novel Treatment for Chronic Mesenteric Ischemia in Patients with an Occluded Superior Mesenteric Artery and Celiac Trunk. European Journal of Vascular and Endovascular Surgery 27(3): E21-E23, 2014

Inferior mesenteric artery aneurysm associated with occlusion of the superior mesenteric and celiac arteries. Annals of Vascular Surgery 15(3): 399-401, 2001

Superior Mesenteric Artery-Pancreaticoduodenal Arcade Bypass Grafting for Repair of Inferior Pancreaticoduodenal Artery Aneurysm with Celiac Axis Occlusion. Annals of Vascular Diseases 11(1): 153-157, 2018

A case of inferior mesenteric artery aneurysm with an occlusive disease in superior mesenteric artery and the celiac artery. Annals of Vascular Diseases 3(2): 160-163, 2010

Inferior mesenteric artery aneurysm with occlusion of the superior mesenteric artery, coeliac trunk and right renal artery. European Journal of Vascular and Endovascular Surgery 35(3): 312-313, 2007

Complicated type B aortic dissection causing ischemia in the celiac and inferior mesenteric artery distribution despite patent superior mesenteric artery bypass. Vascular 23(4): 422-426, 2016

Thoracoabdominal aortic aneurysm combined with inferior mesenteric artery aneurysm and occlusion of celiac and superior mesenteric arteries. Kyobu Geka. Japanese Journal of Thoracic Surgery 59(6): 459-463, 2006

Pathological anatomy of the celiac trunk, superior mesenteric artery and inferior mesenteric artery. Minerva Cardioangiologica 18(6): 329-345, 1970

An aneurysm of the inferior mesenteric artery associated with obstruction of the superior mesenteric artery and the celiac trunk. Revista Espanola de Enfermedades Digestivas 87(3): 255-258, 1995

Complete obliteration of the coeliac trunk of the superior mesenteric artery and the inferior mesenteric artery. Thrombo-endarterectomy and arterioplasty of the superior mesenteric artery. Memoires. Academie de Chirurgie 91(28): 944-951, 1965

Spontaneous recanalization of superior mesenteric artery occlusion following angioplasty and stenting of inferior mesenteric artery. Cardiovascular and Interventional Radiology 29(1): 137-139, 2005

Ruptured atherosclerotic aneurysm of the superior mesenteric artery with celiac axis occlusion. Annals of Surgery 174(2): 207-210, 1971