J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 436KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 93(7): 766-768, 1992

Case report

SURGICAL TREATMENT FOR A CHRONIC INTESTINAL ISCHEMIA ASSOCIATED WITH COMBINED VALVULAR DISEASE

1) Department of Cardiovascualr Surgery, Sendai City Medical Center, Sendai, Japan
2) General Surgery, Sendai City Medical Center, Sendai, Japan

Ko Miura1), Yoshimasa Moizumi1), Takahiko Nakame1), Masaki Hata1), Yasuyuki Abe1), Kikuo Miyagawa2)

A 69-year-old male was admitted with congestive heart failure and postprandial abdominal pain with weight loss. Combined valvular disease (MR III + TR III) was demonstrated by cardiac catheterization. Selective visceral arteriography revealed 75% stenosis at the origin of SMA and common hepatic artery arose beyond the stenosis.
SMA-abdominal aortic bypass grafting using autosaphenous vein graft was performed initially. Postprandial abdominal pain disappeared after bypass grafting, and then MVR with Björk-Shiley mechanical valve and TAP with Carpentier-Edwards ring was performed.

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