Reconstruction of superior mesenteric artery by prostheses placement in a case of chronic mesenteric ischemia: A case report and literature review

Brasoveanu,Vladislav; Romanescu,Dragos; Diaconu,Camelia; Iliescu,Laura; Bratu,Ovidiu; Savu,Cornel; Savu,Carmen; Neacsu,Adrian; Socea,Bogdan; Balescu,Irina; Bacalbasa,Nicolae

doi:10.3892/etm.2020.9119

Reconstruction of superior mesenteric artery by prostheses placement in a case of chronic mesenteric ischemia: A case report and literature review

Authors:
- Vladislav Brasoveanu
- Dragos Romanescu
- Camelia Diaconu
- Laura Iliescu
- Ovidiu Bratu
- Cornel Savu
- Carmen Savu
- Adrian Neacsu
- Bogdan Socea
- Irina Balescu
- Nicolae Bacalbasa
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Affiliations: Department of Surgery, ‘Dan Setlacec’ Center of Gastrointestinal Diseases and Liver Transplantation, Fundeni Clinical Institute, 022328 Bucharest, Romania, Department of Surgery, Sanador Medical Center, 011038 Bucharest, Romania, Department of Internal Medicine, ‘Carol Davila’ University of Medicine and Pharmacy, 020021 Bucharest, Romania, Department of Urology, ‘Carol Davila’ University of Medicine and Pharmacy, 020021 Bucharest, Romania, Department of Thoracic Surgery, ‘Carol Davila’ University of Medicine and Pharmacy, 020021 Bucharest, Romania, Department of Anesthesiology, Fundeni Clinical Institute, 022328 Bucharest, Romania, Department of Obstetrics and Gynecology, ‘Carol Davila’ University of Medicine and Pharmacy, 020021 Bucharest, Romania, Department of Surgery, ‘Sf. Pantelimon’ Clinical Hospital, 021659 Bucharest, Romania, Department of Surgery, ‘Ponderas’ Academic Hospital, 021188 Bucharest, Romania
Published online on: August 12, 2020 https://doi.org/10.3892/etm.2020.9119
Pages: 3504-3507

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Abstract

Although superior mesenteric artery stenosis is a relatively common situation, it is rarely symptomatic due to the fact that in a significant number of cases an adequate collateral circulation exists. The aim of this study is to report a case in which arterial reconstruction was needed due to the absence of such a patent collateral circulation. The 47‑year‑old patient was investigated for chronic postprandial pain and was diagnosed with superior mesenteric artery stenosis. Percutaneous treatment was the initial option of choice but the patient rapidly became symptomatic again. Therefore surgery was performed, the segment of arterial stenosis was resected and the arterial continuity was re‑established by using a synthetic prosthesis. The postoperative outcome was uneventful, the patient was discharged in the seventh postoperative day under anticoagulant therapy. In conclusion, superior mesenteric artery reconstruction by using a synthetic prosthesis can be useful in cases presenting chronic mesenteric ischemia and failure of percutaneous treatment.

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