Nonocclusive mesenteric ischemia after cardiopulmonary bypass View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2004-09

AUTHORS

Tadashi Omoto, Kentaro Kamiya, Samu Akita, Kayo Sugiyama, Masato Kume, Toshitaka Kashima, Shigeru Hosaka, Sosuke Kimura

ABSTRACT

Nonocclusive mesenteric ischemia (NOMI) is a rare abdominal pathology caused by mucosal hypoperfusion without actual obstruction to the mesenteric arteries. We present a case of NOMI after a cardiopulmonary bypass operation. The patient was a 79-year-old woman with a history of hypertension and diabetes mellitus. A coronary bypass operation was performed with stable hemodynamic conditions, and continuous venovenous hemodialysis was performed on the second postoperative day because of renal insufficiency. After 24 h of hemodialysis, the hematocrit level increased from 29.1% to 36.1%. The patient had some vague abdominal pain on the third postoperative day with abnormal laboratory values: leukocytes 17.10 x 10(3)/microl, creatine kinase 1085 U/l, glutamic-oxyloacetic transaminase 6188 U/l, and lactate dehydrogenase 8695 U/l. Selective angiography showed diffuse stenosis of the superior mesenteric artery (SMA) without any occlusive findings on the major branches; the patient was therefore diagnosed with NOMI. An infusion of urokinase and prostaglandin E1 was started; however, disseminated intravascular coagulopathy had developed and the patient died on the 21st postoperative day as a result of multiple organ failure. The autopsy demonstrated extensive necrosis and hemorrhage in the small intestine without any occlusive findings on the major branches of the SMA. More... »

PAGES

161-163

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s10047-004-0261-0

DOI

http://dx.doi.org/10.1007/s10047-004-0261-0

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1012991766

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/15558339


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