Mesenteric ischemia after coronary artery bypass grafting: should local continuous intra-arterial perfusion with papaverine be regarded as a treatment?

Eur J Cardiothorac Surg. 1999 Feb;15(2):218-20. doi: 10.1016/s1010-7940(98)00260-7.

Abstract

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.

Publication types

  • Case Reports

MeSH terms

  • Acute Disease
  • Aged
  • Angina, Unstable / surgery
  • Coronary Artery Bypass / adverse effects*
  • Follow-Up Studies
  • Humans
  • Infusions, Intra-Arterial
  • Ischemia / diagnostic imaging
  • Ischemia / drug therapy
  • Ischemia / etiology*
  • Male
  • Mesenteric Artery, Superior / diagnostic imaging
  • Mesentery / blood supply*
  • Mesentery / diagnostic imaging
  • Papaverine / administration & dosage
  • Papaverine / therapeutic use*
  • Perfusion / methods
  • Radiography
  • Vasodilator Agents / administration & dosage
  • Vasodilator Agents / therapeutic use*

Substances

  • Vasodilator Agents
  • Papaverine