[Acute mesenteric ischemia after cardiac surgery. Management of patients undergoing endovascular treatment (case report)].

D V Belov, O P Lukin, T S Kireeva, I V Shivanov, O S Abramovskikh, A A Fokin
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Abstract

In the structure of abdominal complications after cardiac surgical interventions, cases of acute mesenteric ischemia are rare, but are accompanied by high mortality. Early revascularization of the intestine before the development of irreversible changes in the intestinal wall is the key to successful treatment of this patient cohort. However, endovascular revascularization of the intestine may be followed by a relapse of acute mesenteric ischemia. Dynamic follow-up with control of the state of the stent and an individual therapeutic approach can reduce high mortality characteristic of this complication.

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心脏手术后急性肠系膜缺血。血管内治疗患者的管理[病例报告]。
在心脏手术后腹部并发症的结构中,急性肠系膜缺血的病例是罕见的,但伴随着高死亡率。在肠壁发生不可逆变化之前进行早期肠血运重建是成功治疗该患者群的关键。然而,肠血管内血运重建可能伴随着急性肠系膜缺血的复发。动态随访控制支架状态和个体化治疗方法可以降低该并发症的高死亡率。
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