Infrarenal transposition of the superior mesenteric artery in wilkie syndrome (case report)
https://doi.org/10.17238/2072-3180-2021-3-46-50
Abstract
Introduction. Arteriomesenteric compression of the DPC leads to the development of a chronic violation of the passage of food through the digestive tract with the development of duodenal obstruction in 3-17% of cases. This is a symptom complex caused by compression of the lower horizontal part of the duodenum by the upper mesenteric artery extending from the aorta at an acute angle. Compression of the DPC occurs when the angle of departure of the VBA (upper mesenteric artery) from the aorta is less than 20°, although it is normally 30-50°. Various methods of surgical interventions are proposed. At the same time, operations on the superior mesenteric artery and aorta, which are undoubtedly of an etiopathogenetic nature, are represented by rare clinical observations.
Clinical observation.The article presents a clinical description of the successful use of vascular technologies in the curation of Wilkie syndrome in a patient M. 30 years old with an infrarenal transposition of the superior mesenteric artery. Our first experience of surgery for the transposition of the superior mesenteric artery into the infrarenal aorta in Wilkie syndrome has shown its high efficiency and low injury rate.
Conclusion. This type of surgical intervention should be performed in clinics with significant experience in both abdominal and vascular surgery.
About the Authors
I. P. Parfenov
Veresaev City Clinical Hospital; Russian Medical Academy of Postgraduate Study, Ministry of Health of the RF
Russian Federation
Russian Federation
Parfenov Igor Pavlovich – MD, Professor, Chief physician
st. Lobnenskaya, 10, Moscow, 127644
F. F. Khamitov
Veresaev City Clinical Hospital
Russian Federation
Russian Federation
Khamitov Felix Flyurovich – MD, Professor, head of the department
st. Lobnenskaya, 10, Moscow, 127644
E. A. Matochkin
Veresaev City Clinical Hospital
Russian Federation
Russian Federation
Matochkin Evgenii Aleksandrovich – MD, PhD, cardiovascular
surgeon of the Department
st. Lobnenskaya, 10, Moscow, 127644
V. S. Fomin
Veresaev City Clinical Hospital
Russian Federation
Russian Federation
Fomin Vladimir Sergeevich – MD, PhD, Associate Professor, surgeon
st. Lobnenskaya, 10, Moscow, 127644
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Review
For citations:
Parfenov I.P., Khamitov F.F., Matochkin E.A., Fomin V.S. Infrarenal transposition of the superior mesenteric artery in wilkie syndrome (case report). Moscow Surgical Journal. 2021;(3):46-50. (In Russ.) https://doi.org/10.17238/2072-3180-2021-3-46-50
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