Abstract | INTRODUCTION: Management of acute mesenteric ischemia is still a matter of concern for physicians. This disorder has been associated to an increased mortality mainly because of a late diagnosis and controversial treatment options. METHODS AND RESULTS: We describe the case of a multidisciplinary approach to a cardiogenic thrombotic occlusion of superior mesenteric artery resulting in acute mesenteric ischemia. After rapid diagnosis with Duplex scan, we brought the patient to our catheterization laboratory and managed it with the common tools used for primary percutaneous coronary intervention. Among the specific issues of this case report, we observed some of the common complications of the acute myocardial infarction managed in the catheterization laboratory and treated them with the same tools used in the "myocardial area." CONCLUSIONS: We showed how an "interventional cardiologist's" approach to acute mesenteric ischemia was effective in restoring superior mesenteric artery patency and in aborting a mesenteric infarction.
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Authors | Bernardo Cortese, Ugo Limbruno |
Journal | Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions
(Catheter Cardiovasc Interv)
Vol. 75
Issue 2
Pg. 283-5
(Feb 01 2010)
ISSN: 1522-726X [Electronic] United States |
PMID | 19795499
(Publication Type: Case Reports, Journal Article)
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Chemical References |
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Topics |
- Acute Disease
- Atrial Fibrillation
(complications)
- Cardiovascular Agents
(therapeutic use)
- Combined Modality Therapy
- Female
- Humans
- Ischemia
(diagnostic imaging, etiology, therapy)
- Mesenteric Artery, Superior
- Mesenteric Vascular Occlusion
(diagnostic imaging, etiology, therapy)
- Middle Aged
- Patient Care Team
- Radiography
- Stents
- Thrombolytic Therapy
- Thrombosis
(diagnostic imaging, etiology, therapy)
- Treatment Outcome
- Ultrasonography, Doppler, Duplex
- Vascular Patency
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