Lorusso R.,Cardiac Surgery Unit |
Mariscalco G.,University of Insubria |
Vizzardi E.,Cardiology Unit |
Bonadei I.,Cardiology Unit |
And 2 more authors.
Annals of Thoracic Surgery
Acute bowel ischemia is a perioperative complication that is frequently unrecognized as a cause of death after cardiac surgical procedures, with an in-hospital mortality of 50% to 100%. In recent years, controversy regarding the most appropriate approach to resolve clinical or laboratory suspicion and the limited therapeutic options have led to very little improvement in patient prognosis. This article reviews the related literature examining the actual prevalence, pathophysiologic mechanisms, predisposing factors, diagnostic tests, and therapeutic approaches providing a glance at new promising tools in diagnostic workup. © 2014 by The Society of Thoracic Surgeons Published by Elsevier Inc. Source