Successful Treatment of Acute on Chronic Mesenteric Ischaemia by Common Iliac to Inferior Mesenteric Artery Bypass

Figure 2

Preoperative aortogram with occlusion of the superior mesenteric artery and high grade stenosis of celiac and inferior mesenteric arteries (arrow). Note the markedly hypertrophied IMA which collateralises with the SMA via the marginal branch of Drummond (arrowheads) and the Arc of Riolan.