The common definition of mesenteric venous thrombosis (MVT) refers to a single entity involving thrombosis within the superior mesenteric vein with or without extension to the portal or splenic veins. Recovery following resection of infarcted intestine secondary to mesenteric vessel…
Introduction “Compression of the celiac artery by the median arcuate ligament is well-documented.” Stanley and Fry published this statement in 1971 after reviewing “provocative xylose absorption tests” in ten female and five male patients over a 3.5-year period. After transecting…
Introduction Spontaneous isolated arterial dissection within the splanchnic circulation without associated aortic dissection or associated connective tissue disorder is a rare entity, but is being reported with increasing frequency. This most likely reflects improved imaging modalities, particularly abdominal computed tomography…
Introduction Clinically significant chronic mesenteric ischemia (CMI) is a relatively uncommon disease that was characterized by G.H Goodman in 1918 as “abdominal angina.” In contemporary practice, the term intestinal angina is used to describe the classic symptom of chronic abdominal…
Acute arterial mesenteric ischemia may be challenging to diagnose and treat, resulting in high rates of mortality despite advances in operative technique and critical care. The first superior mesenteric artery (SMA) embolectomy for acute mesenteric ischemia was reported by Klass…
Introduction Developmental renal artery and abdominal aortic disease is complex and the underlying pathogenesis in the majority of cases is poorly understood. Nevertheless, certain contributing factors are well recognized and the treatment of most lesions has become better defined in…
Renal Artery Aneurysms Epidemiology Few vascular surgeons have extensive experience with the clinical management of renal artery aneurysms. , Autopsy studies have revealed an incidence of 0.01% to 0.09%, which is probably an underestimation because renal artery aneurysms may be…
Introduction Acute renovascular ischemia is defined as a sudden interruption of arterial and/or venous renal blood flow; it may involve either partial or complete ischemia of one or both kidneys. In the setting of acute renal ischemia, salvage of a…
Introduction The endovascular treatment of renovascular disease remains controversial. Despite several adequately powered randomized trials, there is no current evidence to support the broad use and efficacy of renal artery stenting. However, renal revascularization remains a commonly used treatment option…
Introduction Following Goldblatt’s innovative work defining the causal relationship between renovascular disease and hypertension in 1934, the surgical management of renovascular disease evolved through three eras: nephrectomy, open surgical correction, and finally renal artery angioplasty with or without stenting (…