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