Clinical Physiology of Circulation

Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, President of Bakoulev National Medical Research Center for Cardiovascular Surgery


Successful surgical treatment of an aneurysm of the superior mesenteric artery in combination with extravascular compression of the celiac trunk in a patient with hematuria

Authors: Arakelyan V.S.1, Bukatsello R.G.1,2, 2, Gamzaev N.R.1, Chernykh N.A.1, Kidakoev R.Z-G.1

Company:
1 Bakoulev National Medical Research Center for Cardiovascular Surgery, Moscow, Russian Federation
2 Sechenov First Moscow State Medical University, Moscow, Russian Federation

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DOI: https://doi.org/10.24022/1814-6910-2023-20-2-193-202

UDC: 616.136.46-007.64-089

Link: Clinical Physiology of Blood Circulaiton. 2023; 2 (20): 193-202

Quote as: Arakelyan V.S., Bukatsello R.G., Gamzaev N.R., Chernykh N.A., Kidakoev R.Z-G. Successful surgical treatment of an aneurysm of the superior mesenteric artery in combination with extravascular compression of the celiac trunk in a patient with hematuria. Clinical Physiology of Circulation. 2023; 20 (2): 193–202 (in Russ.). DOI: 10.24022/1814-6910-2023-20-2-193-202

Received / Accepted:  23.05.2023 / 15.06.2023

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Abstract

Treatment of aneurysms of the superior mesenteric artery and its branches remains a serious problem for the surgical community. The review presents the tactical features of two main directions in the treatment of pathology of the arteries of the visceral basin: surgical and endovascular using both occlusive methods and various types of stents. The criteria that make it difficult to choose the preferred treatment option are: the size, type and localization of the aneurysm, the anatomy of the splanchnic arterial basin, the features of visceral hemodynamics and the severity of collateralization, anatomical proximity to the abdominal organs, and a number of others. Despite the continuous improvement of endovascular intervention methods and the positive results of this minimally invasive alternative treatment option for visceral aneurysms, there are cases in clinical practice when the intravascular method of “turning off” aneurysms turns out to be technically difficult or impossible and is associated with the risk of mesenteric ischemia. When choosing a correction option, a comprehensive assessment of the condition of all visceral arteries and the anatomy of the abdominal basin is crucial in some cases. The presented clinical case describes the experience of treating combined lesions of mesenteric arteries, which required the development of detailed stages and methods of surgical intervention to prevent possible ischemic and hemorrhagic complications.

About Authors

  • Valeriy S. Arakelyan, Dr. Med. Sci., Professor, Head of Department of Surgery of Arterial Pathology; ORCID
  • Roman G. Bukatsello, Cand. Med. Sci., Senior Researcher, Сardiovascular Surgeon; ORCID
  • Nazim R. Gamzaev, Cand. Med. Sci., Senior Researcher, Сardiovascular Surgeon; ORCID
  • Nikolay A. Chernykh, Postgraduate, Сardiovascular Surgeon; ORCID
  • Rustam Z.-G. Kidakoev, Postgraduate, Сardiovascular Surgeon; ORCID

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