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Short communication, Note

Abdominal Angina Caused by Kinking of the Superior Mesenteric Artery


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Abstract

Abdominal angina followed by an active vascular intervention constitutes an infrequent sequence of events. The limited
experience in the active management of this, potentially lethal, condition prompted us to present the case of a 54 year
old man with an exceedingly rare etiology of mesenteric ischemia. The underlying cause was kinking of the superior
mesenteric artery in combination with ostial stenosis of the celiac trunk. The initial management strategy included an
interventional radiological procedure because patient initially declined the surgical treatment. The second intervention
was a surgical revascularization of the diseased segment of the abdominal vasculature. The surgical treatment led to
complete resolution of his symptoms.

Keywords

kinking; superior mesenteric artery; chronic visceral ischemia; visceral revascularization

Hrčak ID:

34437

URI

https://hrcak.srce.hr/34437

Publication date:

1.12.2008.

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