CASE: Abdominal angina with Total occlusion of all mesenteric vessels -> Ilea SMA & IMA Bypass grafting^-www.drkeyurbhatt.in*

Tuesday, July 5, 2011

CASE: Abdominal angina with Total occlusion of all mesenteric vessels -> Ilea SMA & IMA Bypass grafting^-www.drkeyurbhatt.in*

after three months follow up patient gained 11 kg of wt.

and back to normal life working in fields...........

56 yrs male, chronic bidi smoker
had abdominal angina in 2008
h/o severe post parandial abdominal pain and wt loss of 25 kg in 2-3 months

Was diagnosed as chronic aortic dissection with atheromatous changes and occlusion of all mesenteric vessels..
Angiography of abdomen done in march 2008 (Mumbai) and SMA Was stented....

Pt recovered well after stenting and started gaining wt. & remained asymptomatic for 1.5 yrs..
Again abdominal angina started and wt loss as well (32 kg)
Re angiography tried but stent could not be opened and other vessels were also completely occluded.

Referred for abdominal bypass.

CECT ANGIO: Showed total occlusion of all mesenteric vessels:

Non visulization of SMA, IMA & CELIAC

SURGERY: Rt Ileo SMA (Superior mesenteric artery) and Left Ileo IMA (Inferior mesenteric artery) Bypass grafting with sehpanous vein. was done.(with team of Myself, Dr. Jaswantbhai Patel & Dr.Chetan Patel) and of course team of anaesthesia, radiology and intenciviest of Mahavir hospital.