Survival of Acute Intestinal Infarction after Cardiac Transplantation
Summary We report the case of a 52-year-old male who underwent total orthotopic heart transplantation for end-stage ischemic car diomyopathy. The postoperative course was complicated by acute intestinal infarction which was diagnosed after surgical exploration, and treated with a subtotal colectomy...
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| Veröffentlicht in: | The Thoracic and cardiovascular surgeon 1995-12, Vol.43 (6), p.352-354 |
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| container_issue | 6 |
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| container_title | The Thoracic and cardiovascular surgeon |
| container_volume | 43 |
| creator | Aleksic, I. Czer, L. S. C. Admon, D. Blanche, C. Takkenberg, J. J. M. Zisk, J. Fishbein, M. C. Fermelia, D. Trento, A. |
| description | Summary
We report the case of a 52-year-old male who underwent total orthotopic heart transplantation for end-stage ischemic car diomyopathy. The postoperative course was complicated by acute intestinal infarction which was diagnosed after surgical exploration, and treated with a subtotal colectomy with Brooke ileostomy and closure of the distal sigmoid three days post transplant. The patient survived with nutritional support and broad antibiotic Prophylaxis. Review of the literature on acute abdominal complications after operations involving cardiopul monary bypass suggests that such complications are usually fatal. Detection and diagnosis may be obscured and treatment complicated by immunosuppression after cardiac transplanta tion. Because of the poor prognosis without appropriate man agement, a high level of suspicion, early and aggressive diag nostic measures, and swift surgical intervention are essential to survival. |
| doi_str_mv | 10.1055/s-2007-1013808 |
| format | Article |
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We report the case of a 52-year-old male who underwent total orthotopic heart transplantation for end-stage ischemic car diomyopathy. The postoperative course was complicated by acute intestinal infarction which was diagnosed after surgical exploration, and treated with a subtotal colectomy with Brooke ileostomy and closure of the distal sigmoid three days post transplant. The patient survived with nutritional support and broad antibiotic Prophylaxis. Review of the literature on acute abdominal complications after operations involving cardiopul monary bypass suggests that such complications are usually fatal. Detection and diagnosis may be obscured and treatment complicated by immunosuppression after cardiac transplanta tion. Because of the poor prognosis without appropriate man agement, a high level of suspicion, early and aggressive diag nostic measures, and swift surgical intervention are essential to survival.</description><identifier>ISSN: 0171-6425</identifier><identifier>EISSN: 1439-1902</identifier><identifier>DOI: 10.1055/s-2007-1013808</identifier><identifier>PMID: 8775861</identifier><language>eng</language><publisher>Germany</publisher><subject>Case Report ; Colon - blood supply ; Heart Transplantation ; Humans ; Infarction - etiology ; Infarction - therapy ; Male ; Middle Aged ; Myocardial Ischemia - surgery ; Parenteral Nutrition, Total ; Postoperative Complications ; Treatment Outcome</subject><ispartof>The Thoracic and cardiovascular surgeon, 1995-12, Vol.43 (6), p.352-354</ispartof><rights>Georg Thieme Verlag Stuttgart · New York</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c328t-bc5edcab4e62df3af6f9668a520fde85106fee21b1b02018b771cc63bf92703c3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-2007-1013808.pdf$$EPDF$$P50$$Gthieme$$H</linktopdf><link.rule.ids>314,780,784,3017,3018,27924,27925,54559</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8775861$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Aleksic, I.</creatorcontrib><creatorcontrib>Czer, L. S. C.</creatorcontrib><creatorcontrib>Admon, D.</creatorcontrib><creatorcontrib>Blanche, C.</creatorcontrib><creatorcontrib>Takkenberg, J. J. M.</creatorcontrib><creatorcontrib>Zisk, J.</creatorcontrib><creatorcontrib>Fishbein, M. C.</creatorcontrib><creatorcontrib>Fermelia, D.</creatorcontrib><creatorcontrib>Trento, A.</creatorcontrib><title>Survival of Acute Intestinal Infarction after Cardiac Transplantation</title><title>The Thoracic and cardiovascular surgeon</title><addtitle>Thorac cardiovasc Surg</addtitle><description>Summary
We report the case of a 52-year-old male who underwent total orthotopic heart transplantation for end-stage ischemic car diomyopathy. The postoperative course was complicated by acute intestinal infarction which was diagnosed after surgical exploration, and treated with a subtotal colectomy with Brooke ileostomy and closure of the distal sigmoid three days post transplant. The patient survived with nutritional support and broad antibiotic Prophylaxis. Review of the literature on acute abdominal complications after operations involving cardiopul monary bypass suggests that such complications are usually fatal. Detection and diagnosis may be obscured and treatment complicated by immunosuppression after cardiac transplanta tion. Because of the poor prognosis without appropriate man agement, a high level of suspicion, early and aggressive diag nostic measures, and swift surgical intervention are essential to survival.</description><subject>Case Report</subject><subject>Colon - blood supply</subject><subject>Heart Transplantation</subject><subject>Humans</subject><subject>Infarction - etiology</subject><subject>Infarction - therapy</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Myocardial Ischemia - surgery</subject><subject>Parenteral Nutrition, Total</subject><subject>Postoperative Complications</subject><subject>Treatment Outcome</subject><issn>0171-6425</issn><issn>1439-1902</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1995</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kL1PwzAQxS0EKqWwsiFlYgvcOYntjFVVoFIlBspsOY4tUuWj2E4l_ntcNWJjOuneu6d3P0LuEZ4QiuLZpxSApwiYCRAXZI55VqZYAr0kc0COKctpcU1uvN8DYC5EOSMzwXkhGM7J-mN0x-ao2mSwyVKPwSSbPhgfmj7uNr1VTodm6BNlg3HJSrm6UTrZOdX7Q6v6oE7qLbmyqvXmbpoL8vmy3q3e0u3762a13KY6oyKklS5MrVWVG0ZrmynLbMmYUAUFWxtRIDBrDMUKK6CAouIctWZZZUvKIdPZgjyecw9u-B5jS9k1Xps2FjHD6CXnJcQHy2h8Ohu1G7x3xsqDazrlfiSCPHGTXp64yYlbPHiYkseqM_WffQIV9fSsh6_GdEbuh9FFQv6_vF8B5Xbt</recordid><startdate>19951201</startdate><enddate>19951201</enddate><creator>Aleksic, I.</creator><creator>Czer, L. S. C.</creator><creator>Admon, D.</creator><creator>Blanche, C.</creator><creator>Takkenberg, J. J. M.</creator><creator>Zisk, J.</creator><creator>Fishbein, M. C.</creator><creator>Fermelia, D.</creator><creator>Trento, A.</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19951201</creationdate><title>Survival of Acute Intestinal Infarction after Cardiac Transplantation</title><author>Aleksic, I. ; Czer, L. S. C. ; Admon, D. ; Blanche, C. ; Takkenberg, J. J. M. ; Zisk, J. ; Fishbein, M. C. ; Fermelia, D. ; Trento, A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c328t-bc5edcab4e62df3af6f9668a520fde85106fee21b1b02018b771cc63bf92703c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1995</creationdate><topic>Case Report</topic><topic>Colon - blood supply</topic><topic>Heart Transplantation</topic><topic>Humans</topic><topic>Infarction - etiology</topic><topic>Infarction - therapy</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Myocardial Ischemia - surgery</topic><topic>Parenteral Nutrition, Total</topic><topic>Postoperative Complications</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Aleksic, I.</creatorcontrib><creatorcontrib>Czer, L. S. C.</creatorcontrib><creatorcontrib>Admon, D.</creatorcontrib><creatorcontrib>Blanche, C.</creatorcontrib><creatorcontrib>Takkenberg, J. J. M.</creatorcontrib><creatorcontrib>Zisk, J.</creatorcontrib><creatorcontrib>Fishbein, M. C.</creatorcontrib><creatorcontrib>Fermelia, D.</creatorcontrib><creatorcontrib>Trento, A.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Thoracic and cardiovascular surgeon</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Aleksic, I.</au><au>Czer, L. S. C.</au><au>Admon, D.</au><au>Blanche, C.</au><au>Takkenberg, J. J. M.</au><au>Zisk, J.</au><au>Fishbein, M. C.</au><au>Fermelia, D.</au><au>Trento, A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Survival of Acute Intestinal Infarction after Cardiac Transplantation</atitle><jtitle>The Thoracic and cardiovascular surgeon</jtitle><addtitle>Thorac cardiovasc Surg</addtitle><date>1995-12-01</date><risdate>1995</risdate><volume>43</volume><issue>6</issue><spage>352</spage><epage>354</epage><pages>352-354</pages><issn>0171-6425</issn><eissn>1439-1902</eissn><abstract>Summary
We report the case of a 52-year-old male who underwent total orthotopic heart transplantation for end-stage ischemic car diomyopathy. The postoperative course was complicated by acute intestinal infarction which was diagnosed after surgical exploration, and treated with a subtotal colectomy with Brooke ileostomy and closure of the distal sigmoid three days post transplant. The patient survived with nutritional support and broad antibiotic Prophylaxis. Review of the literature on acute abdominal complications after operations involving cardiopul monary bypass suggests that such complications are usually fatal. Detection and diagnosis may be obscured and treatment complicated by immunosuppression after cardiac transplanta tion. Because of the poor prognosis without appropriate man agement, a high level of suspicion, early and aggressive diag nostic measures, and swift surgical intervention are essential to survival.</abstract><cop>Germany</cop><pmid>8775861</pmid><doi>10.1055/s-2007-1013808</doi><tpages>3</tpages></addata></record> |
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| issn | 0171-6425 1439-1902 |
| language | eng |
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| source | MEDLINE; Thieme Connect Journals |
| subjects | Case Report Colon - blood supply Heart Transplantation Humans Infarction - etiology Infarction - therapy Male Middle Aged Myocardial Ischemia - surgery Parenteral Nutrition, Total Postoperative Complications Treatment Outcome |
| title | Survival of Acute Intestinal Infarction after Cardiac Transplantation |
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