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Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
693
Acute mesenteric ischemia due to percutaneous coronary intervention: A case report
Peng Ding1, Yuan Zhou2, Kun-Lan Long1
1Department of Critical Care Medicine, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu 610072, Sichuan Province, China.
World Journal of Clinical Cases
|October 17, 2022
Summary
Percutaneous coronary intervention (PCI) can lead to serious complications like acute mesenteric ischemia, particularly in hemodynamically unstable patients with calcified abdominal vessels. Careful consideration of these risks is crucial for patient safety.
Area of Science:
- Cardiology
- Vascular Surgery
- Gastroenterology
Background:
- Percutaneous coronary intervention (PCI) is a common treatment for acute coronary syndromes (ACS).
- Acute mesenteric ischemia is a critical condition with high mortality if not promptly treated.
Observation:
- An 81-year-old female with respiratory issues and coma presented with elevated troponin levels.
- Despite PCI via the left femoral artery showing no coronary abnormalities, the patient developed signs of acute mesenteric ischemia, including bowel necrosis and portal venous gas.
Findings:
- The patient's severely calcified abdominal vessels may have contributed to the ischemic event post-PCI.
- Despite intensive care, the patient succumbed to intractable shock secondary to extensive bowel necrosis.
Implications:
- This case highlights the potential for severe gastrointestinal complications following PCI, especially in patients with pre-existing vascular disease.
- Healthcare providers must consider the risk of acute mesenteric ischemia in hemodynamically unstable patients undergoing PCI, particularly those with severely calcified abdominal vasculature.
Keywords:
Acute coronary syndromeAcute mesenteric ischemiaCase reportPercutaneous coronary interventionVascular calcificationMore Related Videos
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