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

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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.

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Eker, A., Malzac, B., Teboul, J., & Jourdan, J. (1999). Mesenteric ischemia after coronary artery bypass grafting: Should local continuous intra-arterial perfusion with papaverine be regarded as a treatment? European Journal of Cardio-Thoracic Surgery, 15(2), 218–220. https://doi.org/10.1016/S1010-7940(98)00260-7

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