Abstract
Whenever abdominal circulatory disorders are caused by obstruction of the abdominal aortic visceral branches, adequate blood flow may be restored only by surgical intervention. With the development of symptoms suggesting inadequate collateral circulation and disturbance of splanchnic blood supply, operation is indicated. The choice of operation depends on the nature and the cause of the disease and the type of occlusion. With intravascular obstruction, correction of blood flow may be achieved by a reconstructive procedure. In many patients with extravascular compression of the celiac artery, adequate flow is restored by simple external decompression. The present communication is based on experience with 119 operations, 102 reconstructive and 17 decompressive. Of the 102 reconstructive procedures, 94 were complex with one-stage revascularization of several arteries. Transaortic endarterectomy as described in our method of choice although with widespread lesions resection and replacement is preferred. A thoracolumbar approach is the most expedient incision for reconstruction. The results obtained provide evidence for the effectiveness of surgical treatment of chronic occlusive disease of the visceral branches of the abdominal aorta.
Full text
PDF
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Daily P. O., Fogarty T. J. Simplified revascularization of the celiac and superior mesenteric arteries. Am J Surg. 1976 Jun;131(6):762–765. doi: 10.1016/0002-9610(76)90197-5. [DOI] [PubMed] [Google Scholar]
- Friedman G., Sloan W. C. Ischemic enteropathy. Surg Clin North Am. 1972 Aug;52(4):1001–1012. doi: 10.1016/s0039-6109(16)39798-5. [DOI] [PubMed] [Google Scholar]
- Heberer G., Dostal G., Hoffmann K. Zur Erkennung und operativen Behandlung der chronischen Mesenterialarterieninsuffizienz. Dtsch Med Wochenschr. 1972 May 12;97(19):750–757. doi: 10.1055/s-0028-1107436. [DOI] [PubMed] [Google Scholar]
- Kieny R., Dietz F. A propos de 32 revascularisations mésentériques pour lésions athéromateuses. Chirurgie. 1973 May 2;99(6):396–401. [PubMed] [Google Scholar]
- Kiser J. L., Utley J. R. Visceral artery reconstruction. Am J Surg. 1968 Nov;116(5):720–724. doi: 10.1016/0002-9610(68)90356-5. [DOI] [PubMed] [Google Scholar]
- MAVOR G. E., LYALL A. D., CHRYSTAL K. M., TSAPOGAS M. Mesenteric infarction as a vascular emergency. The clinical problems. Br J Surg. 1962 Sep;50:219–225. doi: 10.1002/bjs.18005022020. [DOI] [PubMed] [Google Scholar]
- MIKKELSEN W. P., ZARO J. A., Jr Intestinal angina; report of a case with preoperative diagnosis and surgical relief. N Engl J Med. 1959 Apr 30;260(18):912–914. doi: 10.1056/NEJM195904302601804. [DOI] [PubMed] [Google Scholar]
- Morris G. C., Jr, De Bakey M. E., Bernhard V. Abdominal angina. Surg Clin North Am. 1966 Aug;46(4):919–930. doi: 10.1016/s0039-6109(16)37936-1. [DOI] [PubMed] [Google Scholar]
- Poilleux J., Hivet M. Traitement chirurgical des sténoses athéromateuses des artères digestives. Ann Chir. 1973 Mar;27(3):307–308. [PubMed] [Google Scholar]
- Reul G. J., Jr, Wukash D. C., Sandiford F. M., Chiarillo L., Hallman G. L., Cooley D. A. Surgical treatment of abdominal angina: review of 25 patients. Surgery. 1974 May;75(5):682–689. [PubMed] [Google Scholar]
- SHAW R. S., MAYNARD E. P., 3rd Acute and chronic thrombosis of the mesenteric arteries associated with malabsorption; a report of two cases successfully treated by thromboendarterectomy. N Engl J Med. 1958 May 1;258(18):874–878. doi: 10.1056/NEJM195805012581803. [DOI] [PubMed] [Google Scholar]
- Stoney R. J., Wylie E. J. Recognition and surgical management of visceral ischemic syndromes. Ann Surg. 1966 Oct;164(4):714–722. doi: 10.1097/00000658-196610000-00016. [DOI] [PMC free article] [PubMed] [Google Scholar]