Successful endovascular treatment of chronic mesenteric ischemia in a patient with variant celiacomesenteric trunk anatomy.

The celiacomesenteric trunk (CMT) is a rare anatomical variant where the celiac axis and superior mesenteric artery share a common origin. Despite its rarity, CMT has significant implications across various medical fields, particularly in surgical planning and interventional procedures. We report a case of chronic mesenteric ischemia owing to atherosclerotic stenosis at the CMT bifurcation, necessitating a complex interventional approach. Kissing covered stent angioplasty was successfully performed, resulting in revascularization, symptom resolution, and no restenosis at 1-year follow-up. This report highlights the feasibility and effectiveness of the kissing stent technique in managing complex CMT bifurcation obstructions in patients with chronic mesenteric ischemia.