Surgery of acute mesenteric artery embolism：the earlier the better        XIN Shi-jie，WANG Lei. Department of Vascular and Thyroid Surgery, the First Affiliated Hospital of China Medical University, Shenyang 110001，China
Corresponding author：XIN Shi-jie，E-mail：xinshijie1963@aliyun.com
Abstract    Acute mesenteric artery embolism (AMAE) is a clinically rarely acute severe vascular surgical disease，usually caused by emboli or thrombosis，partially caused by arteriosclerosis. Acute onset，rapid progression，misdiagnosed and high mortality are the main features of the disease. Such patients have a complex underlying disease，short-term occurrence of section or all of the small intestine dysfunction or necrosis is the main reason for poor prognosis. Early diagnosis and early medical or surgery intervention to remove the superior mesenteric artery occlusion state and restore intestinal blood flow，and conserve not necrotic bowel as much as possible is to reduce mortality and improve quality of life of patients. Long-term clinical work confirmed that occasion of open surgery for AMAE was generally partial late，and efficacy of endovascular treatment is less than satisfactory. It should encourage surgeon to grasp surgery gold points，perform more active and effective treatment of AMAE in order to make patient avoid suffering from a large area of intestinal necrosis and hazard multiple organ dysfunction then seek surgery.