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Infrarenal transposition of the superior mesenteric artery: A new approach in the surgical therapy for Wilkie syndrome  Siamak Pourhassan, MD, Dirk Grotemeyer,

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Presentation on theme: "Infrarenal transposition of the superior mesenteric artery: A new approach in the surgical therapy for Wilkie syndrome  Siamak Pourhassan, MD, Dirk Grotemeyer,"— Presentation transcript:

1 Infrarenal transposition of the superior mesenteric artery: A new approach in the surgical therapy for Wilkie syndrome  Siamak Pourhassan, MD, Dirk Grotemeyer, MD, Günter Fürst, MD, Jens Rudolph, MD, Wilhelm Sandmann, MD  Journal of Vascular Surgery  Volume 47, Issue 1, Pages (January 2008) DOI: /j.jvs Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

2 Fig 1 Preoperative axial arterial phase computed tomography scan after contrast administration shows an obstruction of the horizontal part of the duodenum. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

3 Fig 2 Sagittal reconstruction of an arterial phase preoperative computed tomography scan after contrast administration shows a narrow angel between the aorta and the superior mesenteric artery of 14°. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

4 Fig 3 Preoperative barium follow-through study shows obstruction on the level of the superior mesenteric artery. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

5 Fig 4 Postoperative barium follow-through study shows normal morphology. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

6 Fig 5 A and B, Postoperative volume-rendering technique reconstructions of a computed tomography scan show a distal transposition of the superior mesenteric artery (SMA) with a normal physiologic angle between the aorta and the SMA. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

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