{
    "abstract": "Coral reef Aortic Syndrome can result in significant visceral and lower limb ischemia. We present a 72-year-old male with postprandial abdominal pain and intermittent claudication. Computed tomography demonstrated a calcified plaque occluding the thoracoabdominal aorta. Additionally, the celiac axis was stenotic, and the superior mesenteric artery was completely occluded. The origin of the inferior mesenteric artery was aneurysmal. Aortic rerouting from the ascending to the infrarenal aorta was performed. The superior mesenteric artery was reconstructed with a saphenous vein, and the inferior mesenteric artery was divided and anastomosed directly to the aortic bypass. The procedure resulted in complete relief from the ischemic symptoms.",
    "authors": [
        {
            "affiliation": "Department of Cardiovascular Surgery, Hirosaki University Graduate School of Medicine, Hirosaki, Aomori, Japan.",
            "firstname": "Kengo",
            "initials": "K",
            "lastname": "Tani"
        },
        {
            "affiliation": "Department of Cardiovascular Surgery, Hirosaki University Graduate School of Medicine, Hirosaki, Aomori, Japan.",
            "firstname": "Ryosuke",
            "initials": "R",
            "lastname": "Kowatari"
        },
        {
            "affiliation": "Department of Cardiovascular Surgery, Hirosaki University Graduate School of Medicine, Hirosaki, Aomori, Japan.",
            "firstname": "Norihiro",
            "initials": "N",
            "lastname": "Kondo"
        },
        {
            "affiliation": "Department of Cardiovascular Surgery, Hirosaki University Graduate School of Medicine, Hirosaki, Aomori, Japan.",
            "firstname": "Zaiqiang",
            "initials": "Z",
            "lastname": "Yu"
        },
        {
            "affiliation": "Department of Cardiovascular Surgery, Hirosaki University Graduate School of Medicine, Hirosaki, Aomori, Japan. Electronic address: ikuofuku@hirosaki-u.ac.jp.",
            "firstname": "Ikuo",
            "initials": "I",
            "lastname": "Fukuda"
        }
    ],
    "conclusions": null,
    "copyrights": "Copyright \u00a9 2019 Elsevier Inc. All rights reserved.",
    "doi": "10.1016/j.avsg.2019.10.051",
    "journal": "Annals of vascular surgery",
    "keywords": [],
    "methods": null,
    "publication_date": "2019-11-02",
    "pubmed_id": "31669483",
    "results": null,
    "title": "Concomitant Revascularization Using Ascending Aortic Rerouting in Coral Reef Aortic Syndrome.",
    "xml": "<Element 'PubmedArticle' at 0x788505005b20>"
}