Mesenteric ischemia after coronary artery bypass grafting: should local continuous intra-arterial perfusion with papaverine be regarded as a treatment?
Mesenteric ischemia after cardiac surgery is rare but dramatic. We present a patient who had acute mesenteric ischemia following low cardiac output after coronary artery bypass grafting. Our patient was successfully treated with continuous intra-arterial perfusion with papaverine. We think that selective angiography must be performed as early as mesenteric ischemia is suspected, to get earlier diagnosis and treatment of an ischemic patient.
Eker
A
A
Service de Chirurgie Cardiaque, Hôpital Pasteur-Pavillon H 1, Nice, France.
Malzac
B
B
Teboul
J
J
Jourdan
J
J
D000208:Acute Disease; D000368:Aged; D000789:Angina, Unstable / Q000601:surgery; D001026:Coronary Artery Bypass / Q000009:adverse effects*; D005500:Follow-Up Studies; D006801:Humans; D007261:Infusions, Intra-Arterial; D007511:Ischemia / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology*; D008297:Male; D017538:Mesenteric Artery, Superior / Q000000981:diagnostic imaging; D008643:Mesentery / Q000098:blood supply* / Q000000981:diagnostic imaging; D010208:Papaverine / Q000008:administration & dosage / Q000627:therapeutic use*; D010477:Perfusion / Q000379:methods; D011859:Radiography; D014665:Vasodilator Agents / Q000008:administration & dosage / Q000627:therapeutic use*
D014665:Vasodilator Agents; D010208:Papaverine