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Successful Management in the Case of Mesenteric Ischemia Following EVAR for Ruptured Abdominal Aortic Aneurysm
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（Department of Cardiovascular Surgery, National Hospital Organization Mito Medical Center, Ibaraki, Japan, and Department of Cardiovascular Surgery, Cardiovascular Center, Sendai Kousei Hospital＊, Sendai, Japan）
| Kazunori Ishikawa |
Azumi Hamasaki＊ |
Kazuo Abe＊ |
| Kazuo Abe＊ |
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We report a case of successfully treated mesenteric ischemia following emergency endovascular aortic repair（EVAR）for ruptured abdominal aortic aneurysm（r-AAA). A 79-year-old man, who had received hemodialysis for 5 years for diabetic nephropathy, presented with sudden onset abdominal pain. Contrast-enhanced computed tomography revealed an rAAA with a 60-mm diameter in the infrarenal abdominal aorta. Emergency EVAR was performed. After completion of stent graft placement, intraoperative angiogram revealed serious imaging delay of the superior mesenteric artery. An emergency saphenous vein bypass was performed from the right external iliac artery to the ileocolic artery. The postoperative course was uneventful, and there has been no evidence of endoleak or enlargement of aneurysm diameter during the follow-up period of 2 years.
Jpn. J. Cardiovasc. Surg. 42:193-196（2013）
Keywords：ruptured abdominal aortic aneurysm, stent graft, EVAR, mesenteric artery, bypass
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