Document Detail

Superior mesenteric artery stenting to augment splenorenal arterial bypass for intractable complex renovascular hypertension.
MedLine Citation:
PMID:  14643835     Owner:  NLM     Status:  MEDLINE    
An alternative source of visceral arterial inflow is sometimes necessary for renal revascularization when aortorenal endarterectomy or bypass is inappropriate due to severely diseased aorta. We report the case of a 46-year-old male with recurrent intractable renovascular hypertension in renal failure secondary to occlusion of the celiac axis due to progression of aortoarteritis following splenorenal arterial bypass performed 5 years before. Aortogram visualized intestinal arterial arcade supporting patent bypass with critically stenosed superior mesenteric artery. Successful angioplasty with stenting of superior mesenteric artery restored adequate renal flow through the bypass leading to recovery and easy control of hypertension.
Madathipat Unnikrishnan; Sathyaki Purushotham; Arun Kumar Gupta
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery     Volume:  24     ISSN:  1010-7940     ISO Abbreviation:  Eur J Cardiothorac Surg     Publication Date:  2003 Dec 
Date Detail:
Created Date:  2003-12-03     Completed Date:  2004-03-01     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8804069     Medline TA:  Eur J Cardiothorac Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  1046-9     Citation Subset:  IM    
Department of Cardiothoracic and Vascular Surgery, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, 695011, India.
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MeSH Terms
Arterial Occlusive Diseases / radiography,  surgery*
Hypertension, Renovascular / surgery*
Mesenteric Artery, Superior / radiography,  surgery*
Middle Aged
Renal Artery / surgery
Splenic Artery / surgery

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