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Eur J Cardiothorac Surg 1999;15:218-220
© 1999 Elsevier Science NL

Case report

Mesenteric ischemia after coronary artery bypass grafting: should local continuous intra-arterial perfusion with papaverine be regarded as a treatment?

Service de Chirurgie Cardiaque, Hôpital Pasteur-Pavillon H 1, 30 Avenue de la Voie Romaine, BP 69-06002 Nice, Cedex 1, France

Received 21 August 1998; received in revised form 19 October 1998; accepted 20 October 1998.

^a Corresponding author. Tel.: +33-492-037-706; fax: +33-492-038-460.

Mesenteric ischemia after cardiac surgery is rare but dramatic. We present a patient who had acute mesenteric ischemia following low cardiac output after coronary artery bypass grafting. Our patient was successfully treated with continuous intra-arterial perfusion with papaverine. We think that selective angiography must be performed as early as mesenteric ischemia is suspected, to get earlier diagnosis and treatment of an ischemic patient.

Key Words: Mesenteric ischemia • Cardiac surgery • Local vasodilation

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