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Arch Surg. 2007;142(8):798.

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Answer: Visceral Aortic Atherosclerosis

Mesenteric ischemia is a morbid disease affecting an increasing number of individuals, possibly as a result of the aging of the population. While angioplasty and stenting have assumed a primary role in the treatment of orificial disease of the renal arteries, the role of angioplasty and stenting in the treatment of atherosclerotic disease affecting the celiac and superior mesenteric vessels is less defined. Comparative studies of modern open and endovascular revascularization are now emerging,^1-2 but randomized data are not likely to come to fruition because of relative infrequency of the condition and the perceived risk of open surgery for patients with acute and chronic ischemia of the mesenteric vasculature. Indeed, approximately half of patients with mesenteric ischemia will have significant coronary disease (the patient of this case, for example, had 19 coronary stents) or peripheral vascular disease.^3-4 Weight loss is very common in patients with chronic mesenteric ischemia (84%-100%) but . . . [Full Text of this Article]

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James Hamilton Black, III
Arch Surg. 2007;142(8):797.
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