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Diagnosis and treatment of chronic occlusive lesions of the visceral branches of the abdominal aorta

Chronic circulatory disorders in the system of three unpaired visceral branches of the abdominal aorta the abdominal artery, upper and lower mesenteric arteries - lead to the development of chronic abdominal ischemia syndrome. The most common cause of such a syndrome is stenosis of the mouths of the visceral arteries caused by an arteriosclerotic process or nonspecific aorto-arteritis, as well as extravasal compression of the abdominal artery [2-5]. Unfortunately, a significant number of patients with chronic abdominal ischemia syndrome are treated for a long time and unsuccessfully for various chronic diseases of the gastrointestinal tract by therapists, surgeons, and infectious diseases [3,5,9]. This is due, on the one hand, to the small acquaintance of a wide range of doctors with such a pathology, and on the other hand, to the difficulties of diagnosis. The final diagnosis is possible only in the conditions of a specialized vascular surgery department with the use of radiopaque examination of the visceral arteries 'in two projections [2, 3, 5, 8].