Open AccessNonocclusive Mesenteric Vascular Insufficiency
Author(s) -
Fawzi Habboushe,
Herbert W. Wallace,
Moreye Nusbaum,
Stanley Baum,
Paul L. Dratch,
William S. Blakemore
Publication year - 1974
Publication title -
annals of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 4.153
H-Index - 309
eISSN - 1528-1140
pISSN - 0003-4932
DOI - 10.1097/00000658-197412000-00003
Subject(s) - medicine , gangrene , heart failure , laparotomy , vasodilation , mesentery , digitalis , cardiology , mesenteric arteries , surgery , anesthesia , artery
A case of nonocclusive mesenteric vascular insufficiency in a patient with congestive heart failure on digitalis and with arrhythmia is presented. The preoperative diagnosis was made through mesenteric arteriography. A course of treatment was followed which we believe prevented intestinal gangrene. This regimen includes measures to increase cardiac output, local pharmacologic agents to induce mesenteric vasodilatation, antibiotics, and oxygen. The viability of the intra-abdominal organs was demonstrated by laparotomy.