SUCCESSFUL EXTRA ANATOMIC BYPASS GRAFT ANASTOMOSIS TREATS SUPERIOR MESENTERIC ARTERY OBSTRUCTION IN 40 YEAR OLD FEMALE: A CASE REPORT

Mario Botrous* and Ghanem Ahmad

ABSTRACT

The occurrence of mesentery occlusion, a highly dangerous condition, has been rising over time. Barely clear symptoms delay diagnosis which is crucial because of the high risk of mortality. Superior mesenteric artery obstruction caused by atherosclerosis in a 40 year old female who previously underwent an anastomosis by extra anatomic bypass grafting. The inflow is via the right iliac artery. To effectively provide reperfusion, a supported Polytetraflouroethylene (PTFE) prosthetic graft was bypassed from the right common iliac artery to the superior mesenteric artery. Since they frequently develop as an extension of plaque from the aorta, the majority of atherosclerotic lesions are found close to the origin of the mesenteric arteries and can extend 2 to 3 cm into the branches. Non-atherosclerotic lesions can also result in chronic mesenteric ischemia (CMI), and patients in this category are often younger.

Keywords: Extra-anatomic bypass, Superior mesenteric artery obstruction, Atherosclerosis.