Acute mesenteric ischemia due to percutaneous coronary intervention:A case report
作者机构：Department of Critical Care MedicineHospital of Chengdu University of Traditional Chinese MedicineChengdu 610072Sichuan ProvinceChina Department of GeriatricsThe General Hospital of Western Theater CommandChengdu 610083Sichuan ProvinceChina
出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)
年 卷 期：2022年第10卷第28期
页 面：10244-10251页
核心收录：
学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学]
主 题：Percutaneous coronary intervention Acute mesenteric ischemia Acute coronary syndrome Vascular calcification Case report
摘 要：BACKGROUND Percutaneous coronary intervention(PCI) is extensively used to treat acute coronary syndromes(ACS).Acute mesenteric ischemia is a life-threatening disease if *** SUMMARY An 81-year-old female presented with 3 d of lethargy and 1 d of *** November 16,2021,the patient developed a *** oxygen saturation dropped to 70%-80%,the patient was admitted to the intensive care unit for further *** computed tomography(CT) showed chronic bronchitis,emphysema,and multiple lung *** CT scan showed no obvious abnormalities,but have severely calcified abdominal *** patient received assisted ventilation,and vasoactive,and anti-infection *** level was *** the patient was in a coma,it could not be determined whether she had chest *** cardiologist assumed that the patient had developed ACS;therefore,the patient underwent PCI via the left femoral artery approach,and no obvious abnormalities were found in the left and right coronary *** the second postoperative day,the patient presented with abdominal distension and decreased bowel sounds;constipation was considered and a glycerin enema was *** day 4,the patient suddenly lost consciousness,and had decreased blood pressure,abdominal wall swelling with increased tension,and absence of bowel *** urgent abdominal CT scan revealed gas in her hepatic portal system with extensive bowel wall *** patient died on day 5 due to intractable *** The potential serious complications in patients undergoing PCI,especially the patients who are hemodynamically unstable and have severely calcified abdominal vessels,should all be considered.
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