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Eric peden, md, and manuel rojo, md, demonstrate an exploratory laparotomy and mesenteric artery and heptaic artery bypass. A bypass from the right external iliac artery to the right hepatic artery was performed with a polytetrafluoroethylene (ptfe) graft 8 mm in diameter Tunneling of the graft was retrocolic and paraduodenal. Therefore, a bypass from the supraceliac aorta to the common hepatic artery was created to prevent potential postoperative complications, including anastomotic ischemia and breakdown.
The technique of aortic reconstruction with delayed hepatic artery revascularization by a common iliac artery to hepatic artery bypass is. This video illustrates the technique for a bypass from supraceliac aorta to common hepatic artery and superior mesenteric artery in a patient with chronic mesenteric ischemia and failed celiac artery stent Despite the increased use of advanced mesenteric techniques, it remains important for trainees to understand how to treat patients using open bypass when stents have failed.
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