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Mesenteric Arterial Insufficiency Following Abdominal Aortic Resection

Mesenteric Arterial Insufficiency Following Abdominal Aortic Resection Abstract GRADUAL development of an occlusive lesion of the celiac, superior mesenteric, or inferior mesenteric arteries is rarely associated with symptoms of mesenteric arterial insufficiency. The collateral system is usually adequate to furnish sufficient blood flow to the intestine when a single mesenteric artery is involved and may do so even when two are involved.1-4 The most important mesenteric collateral vessel, which develops as a result of visceral arterial occlusion, is a large tortuous and elongated artery which has been referred to by several names, including mesomesenteric artery, central anastomotic artery, and finally, the most descriptive one, meandering mesenteric artery.5 This collateral vessel has usually been noted to occur in association with occlusion of the superior mesenteric artery. It has also been rarely encountered with aortic occlusion between the origins of the superior and inferior mesenteric arteries, as well as with occlusion of the inferior mesenteric artery. In this References 1. Fry, W.J., and Kraft, R.O.: Visceral Angina , Surg Gynec Obstet 117:417, 1963. 2. Lansing, A.M., and McLarty, T.D.: Mesenteric Vascular Insufficiency , Canad Med Assoc J 87:315, 1962. 3. Morris, G.C., et al: Revascularization of Celiac and Superior Mesenteric Arteries , Arch Surg 84: 95, 1962.Crossref 4. Reuter, S.R., and Olin, T.: Stenosis of the Celiac Artery , Radiology 85:617, 1965.Crossref 5. Moskowitz, M.; Zimmerman, H.; and Felson, B.: The Meandering Mesenteric Artery of the Colon , Amer J Roentgen 92:1088, 1964. 6. Drummond, H.: Some Points Relating to Surgical Anatomy of Arterial Supply of Large Intestine , Proc Roy Soc Med 7:185, 1913. 7. Steward, J.A., and Rankin, F.W.: Blood Supply of Large Intestine: Its Surgical Considerations , Arch Surg 26:843, 1933.Crossref 8. Connolly, J.E.; Abrams, H.L.; and Kieraldo, J.H.: Observations on the Diagnosis and Treatment of Obliterative Disease of the Visceral Branches of the Abdominal Aorta , Arch Surg 90:596, 1965.Crossref 9. McVaugh, H., III, and Roberts, B.: Results of Resection of Abdominal Aortic Aneurysm , Surg Gynec Obstet 113:17, 1961. 10. Smith, R.F., and Szilagyi, D.E.: Ischemia of the Colon as a Complication in the Surgery of the Abdominal Aorta , Arch Surg 80:806, 1960.Crossref 11. Michels, N.A., et al: The Variant Blood Supply to the Small and Large Intestines: Its Import in Regional Resections , J Int Coll Surg 39:127, 1963. 12. Demos, N.J.; Bahuth, J.J.; and Urnes, P.D.: Comparative Study of Arteriosclerosis in the Inferior and Superior Mesenteric Arteries: With a Case Report of Gangrene of the Colon , Ann Surg 155:599, 1962.Crossref 13. Derrick, J.R., Pollard, H.S.; and Moore, R.M.: The Pattern of Arteriosclerotic Narrowing of the Celiac and Superior Mesenteric Arteries , Ann Surg 149:684, 1959.Crossref 14. Brittain, R.S., and Earley, T.K.: Emergency Thrombo-endarterectomy of the Superior Mesenteric Artery: Report of Four Cases , Ann Surg 158:138, 1963.Crossref 15. Shaw, R.S., and Maynard, E.P., III: Acute and Chronic Thrombosis of the Mesenteric Arteries Associated With Malabsorption: A Report of Two Cases Successfully Treated by Thromboendarterectomy , New Eng J Med 258:874, 1958.Crossref 16. Shaw, R.S., and Green, T.H., Jr.: Massive Mesenteric Infarction Following Inferior Mesenteric Artery Ligation in Resection of the Colon for Carcinoma , New Eng J Med 248:890, 1953.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Mesenteric Arterial Insufficiency Following Abdominal Aortic Resection

Archives of Surgery , Volume 93 (1) – Jul 1, 1966

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Publisher
American Medical Association
Copyright
Copyright © 1966 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1966.01330010012003
Publisher site
See Article on Publisher Site

Abstract

Abstract GRADUAL development of an occlusive lesion of the celiac, superior mesenteric, or inferior mesenteric arteries is rarely associated with symptoms of mesenteric arterial insufficiency. The collateral system is usually adequate to furnish sufficient blood flow to the intestine when a single mesenteric artery is involved and may do so even when two are involved.1-4 The most important mesenteric collateral vessel, which develops as a result of visceral arterial occlusion, is a large tortuous and elongated artery which has been referred to by several names, including mesomesenteric artery, central anastomotic artery, and finally, the most descriptive one, meandering mesenteric artery.5 This collateral vessel has usually been noted to occur in association with occlusion of the superior mesenteric artery. It has also been rarely encountered with aortic occlusion between the origins of the superior and inferior mesenteric arteries, as well as with occlusion of the inferior mesenteric artery. In this References 1. Fry, W.J., and Kraft, R.O.: Visceral Angina , Surg Gynec Obstet 117:417, 1963. 2. Lansing, A.M., and McLarty, T.D.: Mesenteric Vascular Insufficiency , Canad Med Assoc J 87:315, 1962. 3. Morris, G.C., et al: Revascularization of Celiac and Superior Mesenteric Arteries , Arch Surg 84: 95, 1962.Crossref 4. Reuter, S.R., and Olin, T.: Stenosis of the Celiac Artery , Radiology 85:617, 1965.Crossref 5. Moskowitz, M.; Zimmerman, H.; and Felson, B.: The Meandering Mesenteric Artery of the Colon , Amer J Roentgen 92:1088, 1964. 6. Drummond, H.: Some Points Relating to Surgical Anatomy of Arterial Supply of Large Intestine , Proc Roy Soc Med 7:185, 1913. 7. Steward, J.A., and Rankin, F.W.: Blood Supply of Large Intestine: Its Surgical Considerations , Arch Surg 26:843, 1933.Crossref 8. Connolly, J.E.; Abrams, H.L.; and Kieraldo, J.H.: Observations on the Diagnosis and Treatment of Obliterative Disease of the Visceral Branches of the Abdominal Aorta , Arch Surg 90:596, 1965.Crossref 9. McVaugh, H., III, and Roberts, B.: Results of Resection of Abdominal Aortic Aneurysm , Surg Gynec Obstet 113:17, 1961. 10. Smith, R.F., and Szilagyi, D.E.: Ischemia of the Colon as a Complication in the Surgery of the Abdominal Aorta , Arch Surg 80:806, 1960.Crossref 11. Michels, N.A., et al: The Variant Blood Supply to the Small and Large Intestines: Its Import in Regional Resections , J Int Coll Surg 39:127, 1963. 12. Demos, N.J.; Bahuth, J.J.; and Urnes, P.D.: Comparative Study of Arteriosclerosis in the Inferior and Superior Mesenteric Arteries: With a Case Report of Gangrene of the Colon , Ann Surg 155:599, 1962.Crossref 13. Derrick, J.R., Pollard, H.S.; and Moore, R.M.: The Pattern of Arteriosclerotic Narrowing of the Celiac and Superior Mesenteric Arteries , Ann Surg 149:684, 1959.Crossref 14. Brittain, R.S., and Earley, T.K.: Emergency Thrombo-endarterectomy of the Superior Mesenteric Artery: Report of Four Cases , Ann Surg 158:138, 1963.Crossref 15. Shaw, R.S., and Maynard, E.P., III: Acute and Chronic Thrombosis of the Mesenteric Arteries Associated With Malabsorption: A Report of Two Cases Successfully Treated by Thromboendarterectomy , New Eng J Med 258:874, 1958.Crossref 16. Shaw, R.S., and Green, T.H., Jr.: Massive Mesenteric Infarction Following Inferior Mesenteric Artery Ligation in Resection of the Colon for Carcinoma , New Eng J Med 248:890, 1953.Crossref

Journal

Archives of SurgeryAmerican Medical Association

Published: Jul 1, 1966

References