Rozhl Chir. 2023 Summer;102(5):204-207. doi: 10.33699/PIS.2023.102.5.204-207.
This case report describes surgical treatment of chronic mesenteric ischemia in a polymorbid patient with the history of an aorto-bifemoral bypass implant.
The patient suffered from chronic occlusions of the mesenteric arteries. He experienced postprandial pain and significant weight loss. Endovascular repair of the occlusions failed. Open single retrograde bypass from the left branch of the aorto-bifemoral graft to the superior mesenteric artery was implanted successfully.
The discussion briefly mentions current trends in the treatment of chronic mesenteric ischemia. Despite the development of interventional radiology, surgical treatment remains a relevant alternative for the management of chronic mesenteric ischemia.
本病例报告描述了一位患有多种疾病的患者的慢性肠系膜缺血的手术治疗，该患者有主动脉-双股动脉旁路植入史。
患者患有慢性肠系膜动脉闭塞。他经历餐后腹痛和明显的体重减轻。肠系膜动脉闭塞的血管内修复失败。成功植入了从主动脉-双股动脉移植物的左支到肠系膜上动脉的单支逆行旁路。
讨论简要提及了慢性肠系膜缺血治疗的当前趋势。尽管介入放射学得到了发展，但手术治疗仍然是慢性肠系膜缺血治疗的一种相关替代方法。
