Indian Journal of Surgery

, Volume 75, Supplement 1, pp 15–17 | Cite as

Extra-anatomic Bypass from Right Common Iliac Artery for Superior Mesenteric Artery Thrombosis in a Post-thrombectomy Patient: A Case Report

  • Keshav Konath Nambiar
  • Arjun Konath Nambiar
  • K. T. Anand
  • P. Sathyamoorthy Aithal
  • Jayakrishnan A. GosalakkalEmail author
Case Report


Superior mesenteric artery occlusion caused by atherosclerosis superimposed with long segment thrombosis in a 54 year old male who previously underwent a resection-anastomosis and thrombectomy procedure was treated by extra anatomic bypass grafting. The abdominal aorta could not be used for inflow due to marked adhesions from previous surgery and severe atherosclerotic changes in the wall. A vein graft was bypassed from the right common iliac artery to the superior mesenteric artery to provide effective reperfusion.


Extra-anatomic bypass Superior mesenteric artery Thrombosis 


  1. 1.
    Tessier DJ (2009) Mesenteric artery thrombosis. eMedicine specialities/General surgery/AbdomenGoogle Scholar
  2. 2.
    Cunningham CG, Reilly LM, Rapp JH, Schneider PA, Stoney RJ (1991) Chronic visceral ischemia—three decades of progress. Ann Surg 214(3):276–287PubMedCentralPubMedCrossRefGoogle Scholar
  3. 3.
    Patel B, Widdowson J, Smith RC (2000) Superior mesenteric artery bypass for chronic mesenteric ischemia: a DGH experience. J R Coll Surg Edinb 45(5):285–287PubMedGoogle Scholar
  4. 4.
    Cho JS, Carr JA, Jacobsen G, Shepard AD, Nypaver TJ, Reddy DJ (2002) Long-term outcome after mesenteric artery reconstruction: a 37-year experience. J Vasc Surg 35(3):453–460PubMedCrossRefGoogle Scholar
  5. 5.
    Wichterman KA, Stansel HC (1979) Simplified splanchnic artery revascularization using extra-anatomic bypass grafts: a report of ten cases. Arch Surg 114(9):1052–1055PubMedCrossRefGoogle Scholar
  6. 6.
    Odagiri S, Koide S, Ariizumi K, Suzuki I, Kamabuchi K, Inamura S, Shoutsu A (1993) Successful right common iliac to superior mesenteric artery bypass for mesenteric ischaemia associated with acute aortic dissection: report of a case. Surg Today 23(11):1014–1017PubMedCrossRefGoogle Scholar

Copyright information

© Association of Surgeons of India 2011

Authors and Affiliations

  • Keshav Konath Nambiar
    • 1
  • Arjun Konath Nambiar
    • 1
  • K. T. Anand
    • 1
  • P. Sathyamoorthy Aithal
    • 2
  • Jayakrishnan A. Gosalakkal
    • 1
    Email author
  1. 1.Department of Cardiothoracic and Vascular SurgeryFather Muller Medical College and HospitalMangaloreIndia
  2. 2.Department of General SurgeryFather Muller Medical College and HospitalMangaloreIndia

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