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A Case of Surgical Revascularization for Abdominal Angina
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（Department of Cardiovascular Surgery, Saga Prefectural Hospital Koseikan, Saga, Japan）
| Akira Furutachi |
Hitoshi Ohteki |
Kozo Naito |
| Junichi Murayama |
Masanori Takamatsu |
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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®
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