Observations on the Diagnosis And Treatment of Obliterative Disease of the Visceral Branches Of the Abdominal Aorta

The meandering mesenteric artery or central anastomotic artery

“…The central anastomosing mesenteric artery can enlarge enough to furnish adequate blood flow between the superior and inferior mesenteric circulations when the two major trunks are severely stenotic or even occluded. 1,2 If this central anastomotic artery is interfered with during nonvascular abdominal surgery by thrombosis or division, acute ischemia and gangrene of the intestinal system will result. Likewise, division of an enlarged anastomotic artery without its reimplantation into the abdominal aorta or aortic graft may result in infarction of the bowel that it supplies.…”