Jpn. J. Vasc. Surg., 14: 23 - 26, 2005  
 
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).
 
Fig. 2 Abdominal angiography showed extended SMA, jejunal, iliocolic and right colic arteries. Middle colic artery and inferior pancreaticoduodenal artery were not identified.
 
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.
 
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.
 
Fig. 5 Postoperative angiography of 6mm-ringed artificial graft and SVG revealed good patency.