PMC4929383_01
Doppler ultrasound of the superior mesenteric artery showing elevated peak systolic velocity of 375 cm/s corresponding to >70% stenosis.
crg-0010-0068-g01.jpg
PMC4929383_01_crg-0010-0068-g01.jpg
F1
Mesenteric vessel ultrasound demonstrated >70% stenoses in the coeliac and superior mesenteric (fig. 1) vessels, though as his symptoms abated again over the next 24 h the significance of these was initially unclear.
Three-dimensional CT reconstruction of the aorta and mesenteric vessels demonstrating 90% ostial stenosis in the coeliac artery (top arrow) and superior mesenteric artery (bottom arrow).
crg-0010-0068-g02.jpg
PMC4929383_01_crg-0010-0068-g02.jpg
F2
Mesenteric CT angiography demonstrated short 90% ostial stenoses of the coeliac and superior mesenteric arteries (fig. 2) as well as an occluded left common iliac artery.
Fluoroscopic image of the superior mesenteric artery with guidewire and self-expanding stent in situ.
crg-0010-0068-g03.jpg
PMC4929383_01_crg-0010-0068-g03.jpg
F3
Fluoroscopically guided balloon dilatation and insertion of 2 self-expanding stents (6-mm and 7-mm diameter) into the superior mesenteric artery over a guidewire was performed (fig. 3).