Successful Recanalization of the Superior Mesenteric Artery in Acute Mesenteric Ischemia
F. D. Kochetkov,
R. E. Kalinin,
I. A. Suchkov,
A. O. Antonenko,
O. V. Krymov,
V. V. Khabibulin,
M. I. Faber https://doi.org/10.23934/2223-9022-2024-13-2-305-311
Abstract
The article describes a clinical case of recanalization of the superior mesenteric artery during acute mesenteric ischemia in an 81-year-old patient who was admitted to the emergency hospital in Ryazan with a clinic for “acute” abdomen. As a result of a diagnostic study, collection of anamnestic data and clinical picture, a diagnosis was made: “Embolism of mesenteric vessels.” Taking into account the early diagnosis (less than 4 hours from the onset of the disease), as well as the extremely complicated somatic status, selective angiography with mesentericography was performed, which revealed the patency of the main trunk of the superior mesenteric artery and complete occlusion of the distal segment of the intestine. Revascularization was performed ischemic area of the superior mesenteric artery. In the postoperative period, positive dynamics was observed, with complete relief of the clinical manifestations of mesenteric ischemia. On the 12th day, the patient was discharged for outpatient treatment under the supervision of a surgeon at her place of residence in satisfactory condition.
Supporting agencies: The study had no sponsorship
About the Authors
F. D. Kochetkov
I.P. Pavlov Ryazan State Medical University
Russian Federation
Russian Federation
Fedor D. Kochetkov, Full-time Postgraduate Student
Department of Cardiovascular, X-ray Endovascular Surgery and Radiation Diagnostics; Department of Surgery, Obstetrics and Gynecology
390026; Vysokovoltnaya Str. 9; Ryazan
R. E. Kalinin
I.P. Pavlov Ryazan State Medical University
Russian Federation
Russian Federation
Roman E. Kalinin, Doctor of Medical Sciences, Professor, Head of the Department
Department of Cardiovascular, X-ray Endovascular Surgery and Radiation Diagnostics
390026; Vysokovoltnaya Str. 9; Ryazan
I. A. Suchkov
I.P. Pavlov Ryazan State Medical University
Russian Federation
Russian Federation
Igor A. Suchkov, Doctor of Medical Sciences, Professor, Professor of the Department
Department of Cardiovascular, X-ray Endovascular Surgery and Radiation Diagnostics
390026; Vysokovoltnaya Str. 9; Ryazan
A. O. Antonenko
City Clinical Hospital of Emergency Medical Care
Russian Federation
Russian Federation
Alexandr O. Antonenko, Head of the Department
Department of X-ray Surgical Methods of Diagn
390026; Stroykova Str. 85; Ryazan
O. V. Krymov
City Clinical Hospital of Emergency Medical Care
Russian Federation
Russian Federation
Oleg V. Krymov, Head of the Department, Surgeon
Department of Emergency Surgery
390026; Stroykova Str. 85; Ryazan
V. V. Khabibulin
City Clinical Hospital of Emergency Medical Care
Russian Federation
Russian Federation
Vladimir V. Khabibulin, Surgeon
Emergency Surgery Department
390026; Stroykova Str. 85; Ryazan
M. I. Faber
City Clinical Hospital of Emergency Medical Care
Russian Federation
Russian Federation
Margarita I. Faber, Candidate of Medical Sciences, Surgeon
Department of Emergency Surgery
390026; Stroykova Str. 85; Ryazan
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Review
For citations:
Kochetkov F.D., Kalinin R.E., Suchkov I.A., Antonenko A.O., Krymov O.V., Khabibulin V.V., Faber M.I. Successful Recanalization of the Superior Mesenteric Artery in Acute Mesenteric Ischemia. Russian Sklifosovsky Journal "Emergency Medical Care". 2024;13(2):305-311. https://doi.org/10.23934/2223-9022-2024-13-2-305-311
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