Grafto-mesenterial steal syndrome developing after aorto-bifemoral bypass causing ischaemic intestinal – and reperfusion syndrome

Introduction: abdominal discomfort caused by mesenterial steal is a long known disorder. Up until now grafto-mesenterial steal syndrome following vascular reconstructions was unknown to us in our own practice. Case report: the admission of a 65 year old woman was commented by a 50 m claudication. Hypertension and diabetes mellitus was in her medical history, and previously she had no abdominal complaints. DSA verified bilateral iliac occlusion and a moderate aortic bifurcation stenosis. An aorto-bifemoral Gelsoft bypass was implanted, with the preservation of the inferior mesenteric artery (IMA). On the 3-rd pos…