Reconstructive Vascular Surgery for Intestinal Angina Associated with Renovascular Hypertension and Intermittent Claudication

Abstract

Calcified atherosclerosis producing occlusion of the suprarenal aorta with involvement of the celiac artery (CA), superior mesenteric artery (SMA), and renal artery is an extremely rare entity. The authors report a case of a fifty-five-year-old woman with this lesion who had suffered from renovascular hypertension, intestinal angina, and intermittent claudi cation of the lower extremities. Reconstructive vascular surgery was successfully performed including an aortic bypass from the lower descending thoracic aorta to the distal abdominal aorta and revascularization of the CA, SMA, and bilateral renal and external iliac arteries simultaneously.

Only a few similar cases have been reported in the literature, and all the patients were female. It appears that there is an unusual predilection for females in this particular form of arteriosclerosis.