Ischemic intestinal complications after aortic reconstructive surgery.
The cases of bowel ischemia following aortoiliac reconstructive surgery during a 5-year period were analyzed. The incidence of the complication was 1.5%. Two of the six patients had ischemia of both small and large bowel. The various secondary operations are described. Three of the patients died. A characteristic and consistent finding was profound thrombocytopenia, which was significantly more pronounced than in a control series. The pathogenesis is multifactorial.
D000368:Aged; D001011:Aorta / Q000601:surgery*; D001014:Aortic Aneurysm / Q000601:surgery; D001157:Arterial Occlusive Diseases / Q000601:surgery; D005260:Female; D006801:Humans; D007083:Iliac Artery / Q000601:surgery*; D007422:Intestines / Q000098:blood supply*; D007511:Ischemia / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology*; D011379:Prognosis; D012086:Reoperation