Abstract
We will present a 48-year-old man with disabling bilateral lower extremity claudication caused by diffuse aortoiliac atherosclerotic disease. The arteriogram documented three-vessel visceral artery occlusive disease and unilateral 60% stenosis of the left renal artery The focus of the discussion will be the preoperative and intraoperative management of this patient, especially the role of prophylactic mesenteric revascularization at the time of aortic surgery
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