Brandão Daniel, Koullias George J, Caparrelli David J, Diethrich Edward B
Department of Cardiovascular and Endovascular Surgery, Arizona Heart Institute, Phoenix, AZ 85006, USA.
Perspect Vasc Surg Endovasc Ther. 2009 Sep;21(3):186-9. doi: 10.1177/1531003509351096. Epub 2009 Dec 3.
Chronic mesenteric ischemia (CMI) is a rare entity with potentially tragic consequences. Meanwhile, there is still no consensus regarding the most adequate treatment approach. The authors herein report a case of a 65-year-old woman with severe CMI as a result of an occlusion of both the celiac artery (CA) and superior mesenteric artery (SMA) and a significant stenosis of the inferior mesenteric artery (IMA) ostium. The patient was successfully treated by angioplasty and stenting of the IMA. Even though the usual approach for CMI is revascularization of the CA and the SMA, the present case demonstrates that IMA can have a central role in visceral circulation, and its endovascular revascularization can be the first treatment option in selected cases.
慢性肠系膜缺血（CMI）是一种罕见疾病，可能导致悲剧性后果。同时，对于最恰当的治疗方法仍未达成共识。本文作者报告了一例65岁女性患者，因腹腔干（CA）和肠系膜上动脉（SMA）闭塞以及肠系膜下动脉（IMA）开口严重狭窄而患有严重CMI。该患者通过IMA血管成形术和支架置入术成功治愈。尽管CMI的常规治疗方法是CA和SMA血运重建，但本病例表明IMA在内脏循环中可起核心作用，其血管内血运重建在某些特定病例中可以作为首选治疗方案。
