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Acute mesenteric ischemia after cardiac surgery. Management of patients undergoing endovascular treatment (case report)

Abstract

In the structure of abdominal complications after cardiac surgical interventions, cases of acute mesenteric ischemia are rare, but are accompanied by high mortality. Early revascularization of the intestine before the development of irreversible changes in the intestinal wall is the key to successful treatment of this patient cohort. However, endovascular revascularization of the intestine may be followed by a relapse of acute mesenteric ischemia. Dynamic follow-up with control of the state of the stent and an individual therapeutic approach can reduce high mortality characteristic of this complication.

Keywords:acute mesenteric ischemia; endovascular treatment; abdominal complication; postoperative management of patients

Funding. The study was supported by the Russian Science Foundation grant N 22-25-20016, https://rscf.ru/project/22-25-20016/

Conflict of interest. The authors declare no conflicts of interest.

Authors’ contribution. Study conception and design – Fokin A.A.; data collection and handling – Belov D.V.; statistical processing – Belov D.V., Kireeva T.S.; draft manuscript preparation – Belov D.V., Shivanov I.V; manuscript revision – Lukin O.P. Shivanov I.V., Abramovskikh O.S.

For citation: Belov D.V., Lukin O.P., Kireeva T.S., Shivanov I.V., Abramovskikh O.S., Fokin A.A. Acute mesenteric ischemia after cardiac surgery. Management of patients undergoing endovascular treatment (case report). Angiology and Vascular Surgery. 2023; 29 (1): 136–41. DOI: https://doi.org/10.33029/1027-6661-2023-29-1-136–141 (in Russian)

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Akchurin Renat Suleymanovich

Doctor of Medical Sciences, Professor, Academician of the Russian Academy of Sciences, Deputy General Director for Surgery, Head of the Department of Cardiovascular Surgery, National Medical Research Center for Cardiology named after Academician E.I. Chazov, President of the Russian Society of Angiologists and Vascular Surgeons

In accordance with the decision of the Presidium of the Russian Society of Angiologists and Vascular Surgeons, the journal "Angiology and Vascular Surgery" will be named after Academician A.V. Pokrovsky starting from No. 2/2022.