SURGICAL TREATMENT OF A PATIENT WITH ACUTE MESENTERIC CIRCULATORY DISORDER USING AORTO-UPPER MESENTERIC BYPASS SURGERY

  • A.D. Ruseva Saint Petersburg State Pediatric Medical University. 2 Lithuania, Saint Petersburg 194100 Russian Federation https://orcid.org/0000-0002-6299-3058
  • I.A. Soloviev Saint Petersburg State Pediatric Medical University. 2 Lithuania, Saint Petersburg 194100 Russian Federation
  • V.V. Zelenin Saint Petersburg State Pediatric Medical University. 2 Lithuania, Saint Petersburg 194100 Russian Federation
  • M.D. Khanevich Saint Petersburg State Pediatric Medical University. 2 Lithuania, Saint Petersburg 194100 Russian Federation
  • O.V. Maslyanyuk Saint Petersburg State Pediatric Medical University. 2 Lithuania, Saint Petersburg 194100 Russian Federation
  • M.M. Tlekhugova Saint Petersburg State Pediatric Medical University. 2 Lithuania, Saint Petersburg 194100 Russian Federation
  • A.Sh. Kayumova Saint Petersburg State Pediatric Medical University. 2 Lithuania, Saint Petersburg 194100 Russian Federation
Keywords: acute violation of mesenteric circulation, aorto-mesenteric bypass surgery, clinical case

Abstract

A clinical case of surgical treatment of a patient with acute mesenteric circulatory disorder using aorto-upper mesenteric bypass surgery is presented. The patient was admitted to a multidisciplinary hospital in St. Petersburg in extremely serious condition. After stabilization of hemodynamics, the patient underwent diagnostic laparoscopy, access conversion, median laparotomy, and right-sided hemicolectomy. An attempt at thrombectomy from the superior mesenteric artery. During the open revascularization of the superior mesenteric artery, a second attempt of thrombembolectomy was performed. An aortoventricular bypass surgery was performed with an autovena. In the postoperative period, the patient underwent program rehabilitation of the abdominal cavity. However, it was not possible to achieve successful treatment. The cause of death was massive bilateral thromboembolism of the pulmonary artery and its branches.

References

Белов Ю.В., Комаров Р.Н., Фролов К.Б. и др. Вариант шунтирования мезентериальных артерий у больной с мультифокальным атеросклерозом. Хирургия. Журнал им. Н.И. Пирогова. 2013;(9):60–62.

Belov Yu.V., Komarov R.N., Frolov K.B. et al. Variant of mesenteric artery bypass grafting in a patient with multifocal atherosclerosis. Khirurgiya. Zhurnal im. N.I. Pirogova. 2013;(9):60–62.

Creisher B.A., Palvannan P., Salvatore D.M. et al. Penumbra aspiration thrombectomy of the superior mesenteric artery for mesenteric ischemia. Journal Vascular Surgery. Cases Innov Tech. 2023;9(4):101278. DOI: 10.1016/j.jvscit.2023.101278.

Roussel A., Della S. N., Coscas R. et al. Results of retrograde open mesenteric stenting for acute thrombotic mesenteric ischemia. Journal Vascular Surgery. 2019;69(4):1137–1142. DOI: 10.1016/j.jvs.2018.07.058.

Scali S.T., Ayo D., Giles K.A. et al. Outcomes of antegrade and retrograde open mesenteric bypass for acute mesenteric ischemia. Journal Vascular Surgery. 2019;69(1):129–140. DOI: 10.1016/j.jvs.2018.04.063.

Wyers M.C., Powell R.J., Nolan B.W., Cronenwett J.L. Retrograde mesenteric stenting during laparotomy for acute occlusive mesenteric ischemia. Journal Vascular Surgery. 2007;45(2):269–275.

Published
2025-06-16
How to Cite
Ruseva, A., Soloviev, I., Zelenin, V., Khanevich, M., Maslyanyuk, O., Tlekhugova, M., & Kayumova, A. (2025). SURGICAL TREATMENT OF A PATIENT WITH ACUTE MESENTERIC CIRCULATORY DISORDER USING AORTO-UPPER MESENTERIC BYPASS SURGERY. University Therapeutic Journal, 7(1), 185-189. https://doi.org/10.56871/UTJ.2025.88.86.016
Section
Clinical case