Open AccessMesenteric ischaemia ocurring as a late complication after-aorto-femoral bypass
Author(s) -
Neeti Makhija,
Raveen Singh,
Usha Kiran,
Madhava Kekani,
Minati Choudhury
Publication year - 2011
Publication title -
indian journal of anaesthesia/indian journal of anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.645
H-Index - 30
eISSN - 0976-2817
pISSN - 0019-5049
DOI - 10.4103/0019-5049.76600
Subject(s) - medicine , perioperative , gangrene , surgery , femoral artery , ischemia , complication , laparotomy , coronary artery disease , mesenteric ischemia , artery , cardiology
Patients with coexisting peripheral vascular disease and coronary artery disease constitute a high risk surgical group. Perioperative management of such patients is an anaesthetic challenge. A 57-year-old male presented with critical limb ischaemia and impending gangrene of the right lower limb. Associated coronary artery disease with triple vessel involvement was diagnosed on coronary angiography. This patient underwent an aorto-femoral bypass. The postoperative course was complicated by the development of mesenteric ischaemia requiring emergency laparotomy and bowel resection.