Abstract
We surgically treated a chronic mesenteric ischemia with thrombosed abdominal aortic aneurysm in an 87-year-old man. Preoperative 3-dimensional computed tomography revealed that the abdominal aortic aneurysm, 8 cm in diameter, was occluded with thrombus and the orifice of the celiac artery was stenostic and the root of the superior mesenteric artery was occluded. We successfully reconstructed the superior mesenteric artery in a retrograde fashion with abdominal aortic aneurysm repair and reconstruction of the right internal iliac artery. After the operation, the patient’s symptoms were completely relieved.
