Endovascular Repair of an Infrarenal Abdominal Aortic Aneurysm with a Dominant Middle Mesenteric Artery

Falkensammer, Juergen; Hakaim, Albert G.; Paz-Fumagalli, R.; Oldenburg, W. Andrew

doi:10.1177/1538574406292007

Cited by 4 publications

(1 citation statement)

References 9 publications

(15 reference statements)

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“…The patient was provided successfully with an endovascular aortic repair. 9 In our case, the SMA, with its branches, supplied the proximal jejunum. The right colic artery was absent.…”

Section: Discussionmentioning

confidence: 95%

Middle mesenteric artery arising from an inflammatory infrarenal aortic aneurysm

Dirrigl

Zimmermann

Ockert

et al. 2009

Journal of Vascular Surgery

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We report of a patient with an inflammatory infrarenal aortic aneurysm with a diameter of 6.5 cm, a middle mesenteric artery (MMA) arising from the aneurysm, and a review of the literature. The patient underwent successful surgical treatment by using an interposition tube graft (Dacron graft, 18 mm) with replantation of the MMA. Reports about a MMA arising separately from the aorta are extremely rare, especially in combination with an infrarenal aortic aneurysm. In our case, it arose from the anterior aspect of the abdominal aorta, 6 cm below the superior mesenteric artery (SMA) and 1.2 cm above the inferior mesenteric artery (IMA). The MMA gave branches to the ileum and distal jejunum and supplied the iliocolic and middle colic artery branch as well as the left colic artery branch. It is of extreme clinical importance for the surgical procedure to have a detailed knowledge of the different anatomical variations and anomalies.

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“…The patient was provided successfully with an endovascular aortic repair. 9 In our case, the SMA, with its branches, supplied the proximal jejunum. The right colic artery was absent.…”

Section: Discussionmentioning

confidence: 95%

Middle mesenteric artery arising from an inflammatory infrarenal aortic aneurysm

Dirrigl

Zimmermann

Ockert

et al. 2009

Journal of Vascular Surgery

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Incidentally Discovered Middle Mesenteric Artery In A Renal Donor

Abdelaal

Moustafa

2015

Radiology Case

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The middle mesenteric artery is a very rare anomalous artery originating from the ventral surface of the abdominal aorta in-between the superior mesenteric artery and inferior mesenteric artery. We identified a middle mesenteric artery during abdominal computed tomographic angiography in a renal donor patient as a part of his work up. The middle mesenteric artery branched out into ileal and ileocolic arteries, supplying the terminal ileal loops as well as the cecum. The anomalous artery had no effect on patient's eligibility as a renal donor candidate.

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