Editor-in-Chief Ufuk Demirkılıç Frequency Quarterly Abbreviation Turk J Vasc Surg Publisher Turkish National Vascular and Endovascular Surgery Society ISSN 2667-4947 E-ISSN 2667-5080



Turkish Journal of Vascular Surgery 2020 , Vol 29 , Issue 3
Type 3 intestinal failure after bypass grafting for isolated acute superior mesenteric artery dissection: A case report
Ahmed Elshiekh1, Nick M Matharu1
1Department of Surgery, University Hospitals Coventry and Warwickshire NHS Trust, Coventry, United Kingdom DOI : 10.9739/tjvs.2020.488 Isolated superior mesenteric artery (SMA) dissection is a very rare cause of mesenteric ischemia. A 66-year-old male patient was admitted to our emergency department with severe epigastric pain. He was diagnosed with spontaneous SMA dissection leading to intestinal ischemia. A bypass graft was used to relieve acute ischemia with an initial success. However, this success was not sustained, as the graft failed slowly despite a satisfactory technical appearance, leading to type 3 intestinal failure which could be explained by the competitive flow. In conclusion, bypass grafting may yield short-term bowel viability in the treatment of isolated SMA dissection and acute ischemia; however, grafts may fail without radiologically apparent technical complications possibly due to the competitive flow from the collateralizing circuits. Keywords : Intestinal failure, mesenteric bypass, mesenteric ischemia, superior mesenteric artery dissection.
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