Successfully Treated Nonocclusive Mesenteric Ischemia After Transcatheter Aortic Valve Replacement.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 28109382.
- Also identified by DOI 10.1016/j.athoracsur.2016.07.064.
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Abstract
An 80-year-old man with symptomatic severe aortic stenosis underwent transcatheter aortic valve replacement. Postoperatively, the patient was hemodynamically stable without inotropic or mechanical support. Approximately 30 hours after the procedure, he developed severe abdominal pain, and a blood test result showed elevated serum lactate level. We suspected nonocclusive mesenteric ischemia and performed emergency selective angiography of the superior mesenteric artery, which showed vasospasm. We confirmed the diagnosis of nonocclusive mesenteric ischemia, and it was treated successfully with intraarterial infusion of vasodilators into the superior mesenteric artery.
Medical subject headings
- Computed Tomography Angiography
- Mesenteric Artery, Superior
- Mesenteric Ischemia
- Transcatheter Aortic Valve Replacement
- Vasodilator Agents