[Non occlusive mesenteric ischemia: a late complication of cardiogenic shock].
The case of a diabetic 62-year-old man with a past history of myocardial infarction, developing a cardial arrest followed by successful cardiopulmonary resuscitation, is reported. In the late clinical course, the patient displayed abdominal signs related to mesenteric ischaemia. The pathophysiology of non-occlusive mesenteric ischaemia is discussed. Risk factors such as diabetes, cardiovascular disease, hemodialysis, the use of digoxine or alpha-adrenergic drugs are listed. Non-occlusive mesenteric ischaemia is not an infrequent complication of cardiac failure in high risk patients.
Soravia
C
C
Clinique de Chirurgie Digestive, Hôpital Cantonal Universitaire, CH-1211 Genève, Suisse.
Höhn
L
L
Mentha
G
G
Chevrolet
J C
JC
Suter
P
P
Rohner
A
A
D016883:Diabetic Ketoacidosis / Q000150:complications*; D006323:Heart Arrest / Q000150:complications*; D006801:Humans; D007511:Ischemia / Q000209:etiology*; D008297:Male; D008643:Mesentery / Q000098:blood supply*; D008875:Middle Aged; D012770:Shock, Cardiogenic / Q000150:complications*; D013997:Time Factors
Ischémie mésentérique non occlusive: une complication tardive du choc cardiogénique.