ANASTOMOSIS OF RENAL TO SUPERIOR MESENTERIC ARTERY

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Abstract
SOME BRANCHES of the abdominal aorta cannot be interrupted without hazard except under unusual conditions. Among these vessels are the superior mesenteric artery and the hepatic artery distal to the origin of the gastroduodenal. If such an artery is injured or is intimately involved by an otherwise resectable tumor, removal of the arterial segment concerned may be fatal. However, to do nothing in a case of this type will probably give an equally dismal result. Hence any dependable method allowing such arterial segments to be bypassed and the arterial blood supply to vital organs preserved may find application. In 20 dogs, ranging from 11 to 20 kg., a left subcostal incision was made with the subject under ether anesthesia and the viscera were retracted to the right. This gives excellent exposure to the superior mesenteric artery and celiac axis, whose origins lie close together at the base of the mesentery

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