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Fig. 10B. 73-year-old man with supraceliac bifurcated aorta to splenic artery and superior mesenteric artery bypass graft. Spectral Doppler waveform was abnormal with minimal flow distally and high resistance, indicating distal occlusion or significant stenosis. Surgeon elected not to revise this abnormality because of prolonged operating and clamping time and significant patient comorbidities. Graft occluded the following day and patient underwent additional operation.





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