Revascularization for chronic mesenteric ischemia is an infrequent vascular
procedure whose objective long-term patency results have been described in
relatively few patients. We reviewed our experience with such procedures a
nd report on the objective and symptomatic long-term results. We retrospect
ively reviewed a consecutive series of 42 patients who underwent mesenteric
arterial reconstruction of 66 vessels during an 11-year period from 1986 t
o 1997. All patients were treated for symptomatic chronic mesenteric ischem
ia. The results support the clinical efficacy and durability of visceral ar
tery bypass procedures for patients with symptomatic chronic mesenteric isc
hemia. Patency rates for females were better than for males independent of
graft type.