This patient had endovascular repair of an abdominal aortic aneurysm. Aliasing of the celiac axis and proximal superior mesenteric artery was noted on colout Doppler assessment of the graft. B-mode imaging indicated significant stenoses of these vessels graded at >70% by spectral Doppler analysis.

The patient was asymptomatic for mesenteric ischemia. However he is at risk as both the celiac axis and superior mesenteric artery are stenosed.

Post-prandial scanning to assess for the level of velocity increase after food ingestion was not performed due to time constraints and lack of symptoms.