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].