Connolly J E, Kwaan J H
Ann Surg. 1979 Oct;190(4):514-22. doi: 10.1097/00000658-197910000-00011.
Reconstitution of the mesenteric vascular circulation, in our experience, is advisable when advanced occlusive disease is noted on the preoperative arteriogram of patients selected for aortoiliofemoral, renal artery, or aortic aneurysm surgery. A lateral aortogram is mandatory, and the presence of an anastomotic meandering mesenteric artery on frontal arteriogram is especially valuable in signaling significant disease. This is the first report of prophylactic concomitant revascularization of compromised mesenteric vessels during aortic reconstructive procedures on selected patients. It is our opinion that such an approach can be a significant deterrent to subsequent catastrophic bowel infarction from mesenteric arterial occlusive disease.
根据我们的经验，对于那些因腹主动脉-髂股动脉、肾动脉或主动脉瘤手术而被选中的患者，如果术前动脉造影显示存在晚期闭塞性疾病，重建肠系膜血管循环是可取的。必须进行侧位主动脉造影，而正位动脉造影上出现吻合迂曲的肠系膜动脉对于提示严重疾病尤为重要。这是关于在选定患者的主动脉重建手术中对受损肠系膜血管进行预防性同期血运重建的首篇报道。我们认为，这种方法可显著预防随后因肠系膜动脉闭塞性疾病导致的灾难性肠梗死。
