Abstract
Intestinal infarction following abdominal aortic aneurysm (AAA) repair is lethal. Prevention is the key to combating this complication. It has been shown that heightened vigilance to avert, detect, and intervene early on intestinal ischemia in the setting of AAA repair can decrease the incidence and mortality of this frequently lethal disease.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Bast TJ, van der Biezen JJ, Scherpenisse J, Eikelboom BC: Ischaemic disease of the colon and rectum after surgery for abdominal aortic aneurysm: A prospective study of the incidence and risk factors. Eur J Vasc Surg 4:253–57, 1990.
Zhang WW, Kulaylat MN, Anain PM, Dosluoglu HH, Harris LM, Cherr GS, Dayton MT, Dryjski ML: Embolization as cause of bowel ischemia after endovas-cular abdominal aortic aneurysm repair. J Vasc Surg 40:867–72, 2004.
Maldonado TS, Rockman CB, Riles E, Douglas D, Adelman MA, Jacobowitz GR, Gagne PJ, Nalbandian MN, Cayne NS, Lamparello PJ, Salzberg SS, Riles TS: Ischemic complications after endovascular abdominal aortic aneurysm repair. J Vasc Surg 40:703–10, 2004.
Dadian N, Ohki T, Veith FJ, Edelman M, Mehta M, Lipsitz EC, Suggs WD, Wain RA : Overt colon ischemia after endovascular aneurysm repair: The importance of microembolization as an etiology. J Vasc Surg 34:986–96, 2001.
Champagne BJ, Lee EC, Valerian B, Mulhotra N, Mehta M: Incidence of colonic ischemia after repair of ruptured abdominal aortic aneurysm with endograft. J Am Coll Surg 204:597–602, 2007.
Piotrowski JJ, Ripepi AJ, Yuhas JP, Alexander JJ, Brandt CP: Colonic ischemia: The Achilles heel of ruptured aortic aneurysm repair. Am Surg 62:557–60, 1996.
Meissner MH, Johansen KH: Colon infarction after ruptured abdominal aortic aneurysm. Arch Surg 126:979–85, 1992.
Hobson RW, 2nd, Wright CB, Rich NM, Collins GJ, Jr: Assessment of colonic ischemia during aortic surgery by Doppler ultrasound. J Surg Res 20:231–35, 1976.
Yilmaz EN, Vahl AC, van Rij G, et al: Endoluminal pulse oximetry of the sigmoid colon and the monitoring of the colonic circulation. Cardiovasc Surg 7:704–9, 1999.
Krohg-Sorensen K, Kvernebo K: Laser Doppler flowmetry in evaluation of colonic blood flow during aortic reconstruction. Eur J Vasc Surg 3:37–41, 1989.
Sakakibara Y, Jikuya T, Saito EM, et al: Does laser Doppler flowmetry aid the prevention of ischemic colitis in abdominal aortic aneurysm surgery ? Thorac Cardiovasc Surg 45:32–34, 1997.
Bergman RT, Gloviczki P, Welch TJ, et al: The role of intravenous fluorescein in the detection of colon ischemia during aortic reconstruction. Ann Vasc Surg 6:74–79, 1992.
Gharagozloo F, Bulkley GB, Zuidema GD, O'Mara CS, Alderson PO. The use of intraperitoneal xenon for early diagnosis of acute mesenteric ischemia. Surgery. 1984 Apr;95(4):404–11.
Fiddian-Green RG, Amelin PM, Hermann JB, et al: Prediction of the development of sigmoid ischemia on the day of aortic operations: Indirect measurements of intramural pH in the colon. Arch Surg 121:654–60, 1986.
Champagne BJ, Darling RC, 3rd, Daneshmand M, Kreienberg PB, Lee EC, Mehta M, Roddy SP, Chang BB, Paty PSK, Ozsvath KJ, Shah DM: Outcome of aggressive surveillance colonoscopy in ruptured abdominal aortic aneurysm. J Vasc Surg 39:792–96, 2004.
Bjorck M, Bergqvist D, Troeng T: Incidence and clinical presentation of bowel ischaemia after aortoiliac surgery--2930 operations from a population-based registry in Sweden. Eur J Vasc Endovasc Surg 12:139–44, 1996.
Brewster DC, Franklin DP, Cambria RP, Darling RC, Moncure AC, Lamuraglia GM, Stone WM, Abbott WM: Intestinal ischemia complicating abdominal aortic surgery. Surg 109:447–54, 1991.
Senekowitsch C, Assadian A, Assadian O, Hartleb H, Ptakovsky, H, Hagmuller GW : Replanting the inferior mesentery artery during infrarenal aortic aneurysm repair: Influence on postoperative colon ischemia. J Vasc Surg 43:689–94, 2006.
Ernst CB, Hagihara PF, Daugherty ME, GriffenJr. WO: Inferior mesenteric artery stump pressure: A reliable index for safe IMA ligation during abdominal aortic aneurysmectomy. Ann Surg 187:641–46, 1978.
Mehta M, Veith FJ, Ohki T, Cynamon J, Goldstein K, Suggs WD, Wain RA, Chang DW, Griedman SG, Scher LA, Lipsitz EC: Unilateral and bilateral hypogastric artery interruption during aortoiliac aneurysm repair in 154 patients: A relatively innocuous procedure. J Vasc Surg 33:S27–32, 2001.
Mehta M, Veith FJ, Darling RC, 3rd, Roddy ST, Ohki T, Lipsitz EC, Paty PS, Kreienberg PB, Ozsvath KJ, Chang BB, Shah DM: Effects of bilateral hypogastric artery interruption during endovascular and open aortoiliac aneurysm repair. J Vasc Surg 40:698–702, 2004.
Mulholland MW, et al; Greenfield's Surgery: Scientific Principles & Practice. 4th ed. Philadelphia, PA: Lippincott Williams & Wilkins, 2006. http://thegreenfieldso-lution.com
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2009 Springer Science+Business Media, LLC
About this chapter
Cite this chapter
Quanstrum, K.H., Upchurch, G.R. (2009). Mesenteric Ischemia Following Abdominal Aortic Aneurysm Repair. In: Upchurch, G.R., Criado, E. (eds) Aortic Aneurysms. Contemporary Cardiology. Humana Press. https://doi.org/10.1007/978-1-60327-204-9_23
Download citation
DOI: https://doi.org/10.1007/978-1-60327-204-9_23
Publisher Name: Humana Press
Print ISBN: 978-1-60327-203-2
Online ISBN: 978-1-60327-204-9
eBook Packages: MedicineMedicine (R0)