REIMPLANTATION TECHNIQUE FOR THE ACUTE SUPERIOR MESENTERIC ARTERY THROMBOSIS

Although clinical presentation of acute superior mesenteric artery thrombosis has similarities in many aspects with acute superior mesenteric artery (SMA) emboli, there are significant differences in the acute phase. Thromboendarderectomy, bypass and SMA reimplantation are the major surgical treatments in SMA thrombosis. The reimplatation of superior mesenteric artery to abdominal aorta region below renal artery is a procedure providing sufficient visceral flow. In our case, the diagnosis of acute SMA thrombosis was made in a patient with a progressive abdominal pain. In the operation room, the head of the patient is lifted to a 30 degree (from the waist) to maintain the ischemic intestines to move into pelvis. Then following the embolectomy SMA was end to side anastomosed to the abdominal aorta. Patient was discharged without any event. (Turkish J Vasc Surg 2005;14(2):31- 34).