Journal of Vascular Surgery
Volume 51, Issue 2 , Pages 392-400.e2 , February 2010

Interventions for mesenteric vasculitis

Presented at the Thirty-Second Annual Meeting of the Midwestern Vascular Society, Madison, Wisc, Sept 11-13, 2008.

  • Yevgeniy Rits, MD

      Affiliations

    • Division of Vascular and Endovascular Surgery, Mayo Clinic, Rochester, Minn
    • ,
  • Gustavo S. Oderich, MD

      Affiliations

    • Division of Vascular and Endovascular Surgery, Mayo Clinic, Rochester, Minn
    • Corresponding Author InformationReprint requests: Gustavo S. Oderich, MD, Gonda Vascular Center, Mayo Clinic, 200 First St SW, Rochester MN 55905
    • ,
  • Thomas C. Bower, MD

      Affiliations

    • Division of Vascular and Endovascular Surgery, Mayo Clinic, Rochester, Minn
    • ,
  • Dylan V. Miller, MD

      Affiliations

    • Department of Anatomic Pathology, Mayo Clinic, Rochester, Minn
    • ,
  • Leslie Cooper, MD

      Affiliations

    • Division of Vascular Medicine, Mayo Clinic, Rochester, Minn
    • ,
  • Joseph J. Ricotta II, MD

      Affiliations

    • Division of Vascular and Endovascular Surgery, Mayo Clinic, Rochester, Minn
    • ,
  • Manju Kalra, MBBS

      Affiliations

    • Division of Vascular and Endovascular Surgery, Mayo Clinic, Rochester, Minn
    • ,
  • Peter Gloviczki, MD

      Affiliations

    • Division of Vascular and Endovascular Surgery, Mayo Clinic, Rochester, Minn

Received 22 February 2009 ,Accepted 26 August 2009.

  • Image Result

    Imaging findings consistent with the diagnosis of mesenteric vasculitis. Computed tomography angiography shows (A) significant arterial wall thickening (arrowheads) and (B) a long, smooth tapered lesi

    Imaging findings consistent with the diagnosis of mesenteric vasculitis. Computed tomography angiography shows (A) significant arterial wall thickening (arrowheads) and (B) a long, smooth tapered lesion (arrow). C, A lateral aortogram shows long smooth tapered lesions of the proximal celiac axis and superior mesenteric artery (arrows).

  • Image Result
    Distribution of mesenteric and extramesenteric lesions in patient with occlusive mesenteric vasculitis involving the celiac axis, superior mesenteric artery (SMA) and inferior mesenteric artery (IMA).

    Distribution of mesenteric and extramesenteric lesions in patient with occlusive mesenteric vasculitis involving the celiac axis, superior mesenteric artery (SMA) and inferior mesenteric artery (IMA).

  • Image Result
    Histologic examination arterial wall biopsy obtained from the patient described in Fig 1 confirmed the diagnosis of giant cell arteritis, showing chronic lymphoplasmacytic vasculitis with patchy trans

    Histologic examination arterial wall biopsy obtained from the patient described in Fig 1 confirmed the diagnosis of giant cell arteritis, showing chronic lymphoplasmacytic vasculitis with patchy transmural inflammation and periadventitial fibrosis. A, Hematoxylin and eosin (H&E) stain at original magnification ×12.5. B, The arrow designates a multinucleated giant cell (H&E; original magnification ×200).

  • Image Result
    A, Open mesenteric revascularization for mesenteric vasculitis was with an iliac artery to superior mesenteric artery bypass or (B) a supraceliac aorta to superior mesenteric and bilateral renal arter

    A, Open mesenteric revascularization for mesenteric vasculitis was with an iliac artery to superior mesenteric artery bypass or (B) a supraceliac aorta to superior mesenteric and bilateral renal artery bypass in a patient with concomitant bilateral renal artery stenoses and renovascular hypertension.

  • Image Result
    Primary graft patency is shown in patients treated with open revascularization for mesenteric vasculitis (MV)) and for atherosclerotic (ASO) disease.

    Primary graft patency is shown in patients treated with open revascularization for mesenteric vasculitis (MV)) and for atherosclerotic (ASO) disease.

  • Image Result
    Freedom from mesenteric symptoms in the patients treated for mesenteric vasculitis (MV) vs atherosclerosis (ASO).

    Freedom from mesenteric symptoms in the patients treated for mesenteric vasculitis (MV) vs atherosclerosis (ASO).

  • Image Result
    Kaplan-Meyer survival curves of the patients treated for mesenteric vasculitis (MV) compared with Minnesota (MN) age- and gender-matched controls vs patients treated for atherosclerosis (ASO).

    Kaplan-Meyer survival curves of the patients treated for mesenteric vasculitis (MV) compared with Minnesota (MN) age- and gender-matched controls vs patients treated for atherosclerosis (ASO).

 Competition of interest: none.

 Additional material for this article may be found online at www.jvascsurg.org.

 The editors and reviewers of this article have no relevant financial relationships to disclose per the JVS policy that requires reviewers to decline review of any manuscript for which they may have a competition of interest.

PII: S0741-5214(09)01812-6

doi: 10.1016/j.jvs.2009.08.082

Journal of Vascular Surgery
Volume 51, Issue 2 , Pages 392-400.e2 , February 2010

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