Stented mesenteric bypass graft

A CTA of the abdominal aorta (A) in sagittal projection shows a patent celiac axis stent (short arrow), with collateral supply (dashed arrow), bypassing an occluded SMA stent (arrow) to the distal SMA (arrowhead). The IMA is occluded. Image B shows a subsequently placed aortomesenteric graft (dashed arrow). Image C shows occlusion of the graft (dashed arrow) with distal reconstitution (short arrow). Image D is a sagittal reconstruction without contrast and shows stents in the aortomesenteric graft, in the celiac axis (short arrow), SMA (arrow), and common iliac artery (arrowhead).