The middle mesenteric artery is a rare anomalous mesenteric vessel that may supply variable segments of the colon. Occlusion of this artery during endovascular aortic aneurysm repair may bear a significant risk of bowel ischemia. We report the successful interventional treatment of a patient with a 5.3 cm infrarenal abdominal aortic aneurysm, sparing a dominant middle mesenteric artery.
Get full access to this article
View all access options for this article.
References
1.
Benton RS, Cotter WB: A hitherto undocumented variation of the inferior mesenteric artery in man. Anat Rec145:171-173, 1963.
2.
Lawdahl RB, Keller FS: The middle mesenteric artery. Radiology165:371-372, 1987.
3.
Yoshida T, Suzuki S, Sato T: Middle mesenteric artery: An anomalous origin of a middle colic artery. Surg Radiol Anat15:361-363, 1993.
4.
LeQuire MH, Sorge DG, Brantley SD: The middle mesenteric artery: An unusual source for colonic hemorrhage. J Vasc Interv Radiol2:141-145, 1991.
5.
Koizumi J, d'Othee BJ, Otal P, et al: Middle mesenteric artery visualized by computed tomographic angiography. Abdom Imaging24:556-558, 1999.
6.
Longo WE, Lee TC, Barnett MG, et al: Ischemic colitis complicating abdominal aortic surgery in the U.S. veteran. J Surg Res60:351-354, 1996.
7.
Razavi MK, DeGroot M, Olcott C, et al: Internal iliac artery embolization in the stent-graft treatment of aortoiliac aneurysms: Analysis of outcomes and complications. J Vasc Interv Radiol11:561-566, 2000.
8.
Mialhe C, Amicabile C, Becquemin JP: Endovascular treatment of infrarenal abdominal aneurysms by the Stentor system: Preliminary results of 79 cases. Stentor Retrospective Study Group. J Vasc Surg26: 199-209, 1997.
9.
Fan CM, Rafferty EA, Geller SC, et al: Endovascular stent-graft in abdominal aortic aneurysms: The relationship between patent vessels that arise from the aneurysmal sac and early endoleak. Radiology218: 176-182, 2001.
