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Ann Thorac Surg 2005;80:1096-1098
© 2005 The Society of Thoracic Surgeons

Case report

Combined Myocardial and Mesenteric Surgical Revascularization

Michel Kindo, MD, Arnaud Mommerot, MD, Guillaume Maxant, MD, Georges Giron, MD, Mario Arguello, MD, Bernard Eisenmann, MD *

Department of Cardiovascular Surgery, Hôpital Civil, Strasbourg, France

Accepted for publication March 15, 2004.

* Address reprint requests to Dr Eisenmann, 1 Place de l’Hôpital, BP 426, 67091 Strasbourg, Cedex, France (Email: bernard.eisenmann{at}chru-strasbourg.fr).

Chronic mesenteric ischemia is a rare disorder that is frequently associated with coronary artery disease. Myocardial ischemia is a leading cause of morbidity and mortality after revascularization of the splanchnic arteries. The optimal treatment of concomitant chronic mesenteric ischemia and myocardial ischemia is unknown. We report a case of this condition in a 57-year-old man who required revascularization of both the left anterior descending coronary and superior mesenteric arteries with venous grafts anastomosed to the ascending aorta. The patient remains asymptomatic after a 3-year follow-up. This good result argues for one-stage combined myocardial and mesenteric revascularization in selected symptomatic patients.






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