Giordanengo F, Boneschi M, Vandone P G, Erba M
Universita degli Studi - Milano, Istituto di Chirurgia Generale e Cardiovascolare.
Minerva Cardioangiol. 1995 Oct;43(10):429-34.
Acute mesenteric ischemia is a severe complication after aortic reconstructive surgery for AAA repair. This ischemic event, due to a poor intestinal perfusion especially in ruptured AAA in consequence of the hypotension and the hypovolemic shock, shows different clinical manifestations such as delayed canalization, ischemic colitis or more serious like intestinal infarction. Between 1989 and 1994, 965 cases of abdominal aortic aneurysms have been surgically treated in General and Cardiovascular Surgery Institute of University of Milan. Rupture had occurred in 150 patients, and intestinal infarction was observed in 6 cases (3.9%). Mortality rate of 33% was observed. Etiology and technical procedures to avoid this complication are discussed.
急性肠系膜缺血是腹主动脉瘤修复主动脉重建手术后的一种严重并发症。这种缺血事件是由于肠道灌注不良，特别是在因低血压和低血容量性休克导致的破裂腹主动脉瘤中，表现出不同的临床表现，如肠管再通延迟、缺血性结肠炎，或更严重的肠梗死。1989年至1994年间，米兰大学综合与心血管外科研究所对965例腹主动脉瘤进行了手术治疗。150例患者发生破裂，6例（3.9%）观察到肠梗死。观察到的死亡率为33%。本文讨论了避免这种并发症的病因和技术方法。
