Abstract
Eleven patients (eight women) underwent urgent revascularisation for acute-on-chronic mesenteric ischaemia. Four patients had dual vessel and seven single vessel reconstructions. Two patients underwent simultaneous bowel resection and one patient has had three separate grafts to the superior mesenteric artery. There were two peri-operative deaths and three have died in the late follow-up period after 18, 24 and 36 months. The remainder have survived for between five and 63 months. Revascularisation for acute-on-chronic mesenteric ischaemia has been shown to be technically possible and of substantial benefit to patients who would otherwise be treated as terminal cases.
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Selected References
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- Baur G. M., Millay D. J., Taylor L. M., Jr, Porter J. M. Treatment of chronic visceral ischemia. Am J Surg. 1984 Jul;148(1):138–144. doi: 10.1016/0002-9610(84)90301-5. [DOI] [PubMed] [Google Scholar]
- Bradbury A. W., Brittenden J., McBride K., Ruckley C. V. Mesenteric ischaemia: a multidisciplinary approach. Br J Surg. 1995 Nov;82(11):1446–1459. doi: 10.1002/bjs.1800821105. [DOI] [PubMed] [Google Scholar]
- Clavien P. A., Muller C., Harder F. Treatment of mesenteric infarction. Br J Surg. 1987 Jun;74(6):500–503. doi: 10.1002/bjs.1800740628. [DOI] [PubMed] [Google Scholar]
- Fisher D. F., Jr, Fry W. J. Collateral mesenteric circulation. Surg Gynecol Obstet. 1987 May;164(5):487–492. [PubMed] [Google Scholar]
- Gentile A. T., Moneta G. L., Taylor L. M., Jr, Park T. C., McConnell D. B., Porter J. M. Isolated bypass to the superior mesenteric artery for intestinal ischemia. Arch Surg. 1994 Sep;129(9):926–932. doi: 10.1001/archsurg.1994.01420330040009. [DOI] [PubMed] [Google Scholar]
- Heys S. D., Brittenden J., Crofts T. J. Acute mesenteric ischaemia: the continuing difficulty in early diagnosis. Postgrad Med J. 1993 Jan;69(807):48–51. doi: 10.1136/pgmj.69.807.48. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hollier L. H., Bernatz P. E., Pairolero P. C., Payne W. S., Osmundson P. J. Surgical management of chronic intestinal ischemia: a reappraisal. Surgery. 1981 Dec;90(6):940–946. [PubMed] [Google Scholar]
- MacFarlane S. D., Beebe H. G. Progress in chronic mesenteric arterial ischemia. J Cardiovasc Surg (Torino) 1989 Mar-Apr;30(2):178–184. [PubMed] [Google Scholar]
- McAfee M. K., Cherry K. J., Jr, Naessens J. M., Pairolero P. C., Hallett J. W., Jr, Gloviczki P., Bower T. C. Influence of complete revascularization on chronic mesenteric ischemia. Am J Surg. 1992 Sep;164(3):220–224. doi: 10.1016/s0002-9610(05)81074-8. [DOI] [PubMed] [Google Scholar]
- Ottinger L. W., Austen W. G. A study of 136 patients with mesenteric infarction. Surg Gynecol Obstet. 1967 Feb;124(2):251–261. [PubMed] [Google Scholar]