fig1

Figure 1. Initial selective angiography demonstrates flow through the proximal SMA (A) before redirection of contrast through the SMV (B) and the venous system. After accessing the brachial artery, a 10 mm × 2.5 cm Viabahn stent was deployed (C) over the identified SMA defect (via IVUS) successfully excluding the pathologic anatomy (D). SMA: superior mesenteric artery; SMV: superior mesenteric vein; IVUS: intravascular ultrasound