A Case of Surgical Revascularization for Abdominal Angina

(Department of Cardiovascular Surgery, Saga Prefectural Hospital Koseikan, Saga, Japan)

Akira Furutachi Hitoshi Ohteki Kozo Naito
Junichi Murayama Masanori Takamatsu
A 68-year-old woman with multiple gastric ulcers was admitted to our hospital due to post-prandial abdominal pain. Multirow detector computed tomography(MDCT)showed severe stenoses of both the celiac trunk and superior mesenteric artery(SMA);therefore, we decided to operate based on the presumed diagnosis of abdominal angina. We bypassed the stenoses using a saphenous vein graft from the right external iliac artery to the SMA, distal to the stenosis. The patient was symptom-free postoperatively. In summary, this case of abdominal angina was accurately evaluated preoperatively with MDCT and the flow meter®. Thereafter, a focal stenosis in the superior mesenteric artery was successfully treated with an external iliac-SMA bypass using a saphenous vein graft.
  Jpn. J. Cardiovasc. Surg. 41:8-11(2012)

Keywords:abdominal angina,MDCT,flow meter®