A Case of Vein Graft Bypass for Superior Mesenteric Artery Stenosis

(Department of Cardiovascular Surgery, Kochi Municipal Hospital, Kochi, Japan)

Naoki Kanemitsu Manabu Okabe Seiichiro Wariishi
Takasumi Nakamura
We report a case of successful saphenous vein bypass grafting for superior mesenteric artery stenosis. A 50-year-old man complained of abdominal pain which was not induced by either eating or defecation. He was admitted to our hospital and examinations of the gastrointestinal tract revealed no abnormality. Angiography showed stenosis of the superior mesenteric artery (SMA), but not of the celiac artery (CA) or inferior mesenteric artery (IMA). We speculated that his symptom was due to SMA stenosis and poor collateral circulations from the CA, IMA and internal iliac arteries. Saphenous vein bypass grafting for SMA was undertaken successfully and abdominal pain disappeared completely.
@Jpn. J. Cardiovasc. Surg. 29: 60-62 (2000)