Chronic mesenteric ischemia is a clinical condition caused by obstructive or occlusive disease of the mesenteric vessels, with potentially lethal consequences. We describe a case of open multiple revascularization in a patient affected by antiphospholipid syndrome and diffuse atherosclerosis, with an abdominal aortic aneurism, a contracted kidney, a renal cancer affecting the contralateral kidney, and as a consequence, a chronic renal failure and hypertension. We revascularized the celiac trunk, the superior and inferior mesenteric arteries, and the right renal artery using saphenous grafts; the aneurism was corrected, and the renal tumor was treated by radiofrequency ablation. Despite the invasiveness and complexity, the surgical strategy adopted allowed to save the patient's life, to treat the chronic mesenteric ischemia and the renal cancer, and to improve the chronic renal insufficiency and hypertension.
Graft, Mesenteric ischemia, Occlusion, Revascularization.
Annali italiani di chirurgia. 2016 Dec 20*** epublish ***
Panagiotis Paliogiannis, Giorgio Carlo Ginesu, Claudio Francesco Feo, Maria Laura Cossu, Antonio Pinna, Giulia Farina, Gianpaolo Vidili, Alberto Porcu