Unknown late complication after reimplantation of the inferior mesenteric artery

Clinically apparent ischemia of the colon is a rare but serious complication of aortic reconstruction. The mortality rate of transmural involvement is between 60 and 100%. The reimplantation of the inferior mesenteric artery (IMA) during aortic surgery may prevent the development of this complication. The indication and efficiency to preserve colon viability of this procedure in the clinical practice is still disputed. In our presentation we demonstrate an unknown late complication of the reimplantation of the IMA after abdominal aorta aneurysm resection and aortobifemoral bypass. An aneurysm had developed and r…