Complete antegrade splanchnic revascularization

Abstract

In this article, we present two cases with mesenteric ischemia. Both patients had three occluded splanchnic arteries. Superior mesenteric artery and celiac artery were revascularized antegradely by using bifurcated Dacron® grafts. The main body of the bifurcated graft (7/14) was anastomosed to the supraceliac abdominal aorta. Then, the small branch of the grafts was anastomosed to the common hepatic artery or celiac artery. Superior mesenteric artery part of the Dacron® grafts was passed behind the pancreas and anastomosed to the superior mesenteric artery in an end-to-side fashion by using the Taylor patch technique. Inferior mesenteric artery was mobilized in both patients and anastomosed to the left iliac artery in an end-to-side fashion. [Turk J Vasc Surg 2022; 31(2.000): 129-33]

Keywords

• antegrade revascularization
• celiac artery
• inferior mesenteric artery
• intestinal ischemia
• superior mesenteric artery