Home E-PUBLISHED 2016 Dicembre 2016 Surgical treatment of chronic multivascular mesenteric ischemia in a patient with antiphospholipid syndrome, abdominal aortic aneurism, and renal cancer: when planning overwhelms complexity
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Surgical treatment of chronic multivascular mesenteric ischemia in a patient with antiphospholipid syndrome, abdominal aortic aneurism, and renal cancer: when planning overwhelms complexity

Surgical treatment of chronic multivascular mesenteric ischemia in a patient with antiphospholipid syndrome, abdominal aortic aneurism, and renal cancer: when planning overwhelms complexity

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Panagiotis Paliogiannis, Giorgio Carlo Ginesu, Claudio Francesco Feo, Maria Laura Cossu, Antonio Pinna, Giulia Farina, Gianpaolo Vidili, Alberto Porcu
Ann Ital Chir, Digital Edition 2016 Epub, Dec. 20

Chronic mesenteric ischemia is a clinical condition caused by obstructive or occlusive disease of the mesenteric vessels,
with potentially lethal consequences. We describe a case of open multiple revascularization in a patient affected by
antiphospholipid syndrome and diffuse atherosclerosis, with an abdominal aortic aneurism, a contracted kidney, a renal
cancer affecting the contralateral kidney, and as a consequence, a chronic renal failure and hypertension. We revascularized
the celiac trunk, the superior and inferior mesenteric arteries, and the right renal artery using saphenous grafts;
the aneurism was corrected, and the renal tumor was treated by radiofrequency ablation. Despite the invasiveness and
complexity, the surgical strategy adopted allowed to save the patient’s life, to treat the chronic mesenteric ischemia and
the renal cancer, and to improve the chronic renal insufficiency and hypertension.





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