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Fig.
1 |
Abdominal
CT scan revealed superior mesenteric artery (SMA) aneurysm
with 60-mm diameter (white arrow). Each branches were
running on the surface of the aneurysm (arrowheads). |
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Fig.
2 |
Abdominal
angiography showed extended SMA, jejunal, iliocolic
and right colic arteries. Middle colic artery and inferior
pancreaticoduodenal artery were not identified. |
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Fig.
3 |
Schema
of reconstruction design. Graft replacement for SMA
aneurysm with 6mm-ringed artificial graft (DISTAFLOTM)
to main branches of SMA. Saphenous vein graft (SVG)
was harvested and used for reconstruction of other four
branches of SMA. |
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Fig.
4 |
Intraoperative
photograph shows 6mm-ringed artificial graft-saphenous
vein composite graft.
A: Right colic atery.
B: Jejunal artery.
C, D: Branches of jejunal aetery. E: Iliocolic artery. |
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Fig.
5 |
Postoperative
angiography of 6mm-ringed artificial graft and SVG revealed
good patency. |
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