Asymptomatic Visceral and Renal Artery Stenosis in a 49-Year-Old with  Aortic Iliac Occlusive Disease

Keith D. Calligaro; Enrico Ascher; William D. Jordan

doi:10.1055/s-2000-9514

Perspectives in Vascular Surgery, Table of Contents

Perspectives in Vascular Surgery 2000; Volume 13(Number 3): 0085-0102
DOI: 10.1055/s-2000-9514

Asymptomatic Visceral and Renal Artery Stenosis in a 49-Year-Old with Aortic Iliac Occlusive Disease

Keith D. Calligaro, Enrico Ascher, William D. Jordan

Chief, Section of Vascular Surgery, Pennsylvania Hospital, Philadelphia, PA (KDC). Professor of Surgery, SUNY Health Center, Brooklyn; Director Vascular Surgery Services, Maimonides Medical Center, Brooklyn, NY (EA). Associate Professor of Surgery, University of Alabama Hospital at Birmingham, Birmingham, AL (WDJ).

Abstract

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ABSTRACT

-We will present a 48-year-old man with disabling bilateral lower extremity claudication caused by diffuse aortoiliac atherosclerotic disease. The arteriogram documented three-vessel visceral artery occlusive disease and unilateral 60% stenosis of the left renal artery. The focus of the discussion will be the preoperative and intraoperative management of this patient, especially the role of prophylactic mesenteric revascularization at the time of aortic surgery.

KEYWORD

Prophylactic mesenteric revascularization - aortioiliac occlusive disease

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