[Chronic intestinal ischemia. Apropos of a case successfully treated with surgery]. / Isquemia intestinal crónica. A propósito de un caso resuelto satisfactoriamente mediante cirugía.

A case is presented of chronic intestinal ischemia due to arteriosclerotic obstruction of the celiac trunk and superior mesenteric artery. The diagnosis was reached by right transfemoral aortography. Surgical treatment was direct reimplantation of the superior mesenteric artery on the anterior aspect of the healthy aorta and installation of a retrograde Dacron graft between the aorta and common hepatic artery. The patient's postoperative course was satisfactory, with total remission of the symptomatology; revascularization was confirmed by a new aortography at six months. The diagnostic and therapeutic problems posed by this pathology are commented.