Mesenteric arterial disease

Case contributed by Brendan Cullinane

Presentation

Patent referred for surveillance of aortic endovascular graft.

Patient Data

Gender: Male
Race: Caucasian
Ultrasound

>70% stenoses of the coeliac axis and superior mesenteric artery.

Case Discussion

This patient had endovascular repair of an abdominal aortic aneurysm. Aliasing of the coeliac axis and proximal superior mesenteric artery was noted on colout Doppler assessment of the graft. B-mode imaging indicated significant stenoses of these vessels graded at >70% by spectral Doppler analysis.

The patient was asymptomatic for mesenteric ischaemia. However he is at risk as both the coeliac axis and superior mesenteric artery are stenosed.

Post-prandial scanning to assess for the level of velocity increase after food ingestion was not performed due to time constraints and lack of symptoms.

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Case information

rID: 18020
Case created: 1st Jun 2012
Last edited: 20th Jan 2016
System: Vascular
Inclusion in quiz mode: Included

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