[Indications for the revascularization of visceral branches of the abdominal aorta in aorto-femoral reconstruction]. / Pokazaniia k revaskuliarizatsii vistseral'nykh vetvei briushnoi aorty pri aortobedrennykh rekonstruktsiiakh.

Affection of the visceral branches of the abdominal aorta was diagnosed in 546 of 783 patients subjected to aorto-femoral reconstructions. The clinical picture of affection of the visceral branches is analysed according to the extent of their involvement and the genesis of the occlusive process. The authors possess experience in 169 cases with revascularization of the visceral branches in aorto-femoral reconstructions. Reconstruction of the inferior mesenteric artery was carried out in 134 cases and reconstruction of the celiac trunk and the superior mesenteric artery--in 35 cases. Retrospective analysis of the frequency and severity of gastrointestinal complications in the immediate and late-term postoperative periods allowed the authors to formulate the indications for and elaborate the optimum extent of reconstruction of the visceral branches depending on the character of their affection and the course of the occlusive process.