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Fig. 4A —47-year-old woman with mesenteric ischemia who received supraceliac
bifurcated bypass graft to celiac artery and superior mesenteric artery (SMA)
using 12 x 7 mm Hemashield Dacron graft (Boston Scientific). On
postoperative day 2, patient complained of abdominal pain. MDCT angiography
was performed and showed graft thrombosis. Sagittal multiplanar reformation
shows stump of graft (arrowhead) as well as two separate areas of
occlusion in SMA (arrows). Patient underwent emergent embolectomy
that restored patency of bifurcated graft. Hepatic graft anastomosis was
revised by inserting interposition graft.
