# Mesenteric ischemia caused by chronic occlusion of multiple mesenteric arteries: a case report

## TL;DR

This case report describes the successful treatment of a rare condition involving chronic blockage of multiple arteries in the intestines using a combination of surgical and minimally invasive techniques.

## Contribution

The paper presents a novel combined approach using vascular bypass and endovascular therapy for complex chronic mesenteric ischemia.

## Key findings

- A combination of vascular bypass and endovascular therapy effectively treated complex chronic mesenteric ischemia.
- Prioritizing the opening of the superior mesenteric artery is critical for successful treatment outcomes.
- Integrated surgical and interventional methods can be used to achieve optimal results in complex cases.

## Abstract

Chronic mesenteric ischemia (CMI) is a rare disease that progresses with acute mesenteric ischemia, along with high mortality. How to choose the appropriate surgical method and the artery which should be opened first is the key to the treatment.

In this study, we successively used vascular bypass and endovascular therapy to treat a case of complex chronic mesenteric ischemia.

For mesenteric ischemic disease, the superior mesenteric artery (SMA) should be opened preferentially. Arterial bypass or interventional therapy can be used, or both can be combined, to finally achieve the purpose of treatment.