Mesenterialischämie nach herzchirurgischen Eingriffen

Ursache, Diagnostik und Therapie
CME
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Zusammenfassung

Komplikationen nach herzchirurgischen Eingriffen umfassen zumeist kardiopulmonale, neurologische und renale Ereignisse. Kommt es nach herzchirurgischen Eingriffen zu der seltenen gastrointestinalen Komplikation der Mesenterialischämie, ist diese Folge bereits länger bestehender Perfusionsdefizite und steht am Ende einer lebensbedrohlichen Kausalität. Aufgrund offensichtlicher Limitationen ist die Mesenterialischämie nur Inhalt retrospektiver Analysen und steht weiterhin im Fokus der Forschung. Ein evidenzbasiertes Vorgehen ist nicht beschrieben; daher setzt es eine gewisse klinische Expertise voraus, diese Krankheitsbilder rasch zu erkennen und zu behandeln. Ziel der vorliegenden Arbeit ist es, eine Übersicht der Literatur zu erstellen, da trotz zunehmendem Einzug der evidenzbasierten Medizin in diesen Bereich die Expertenmeinung meist noch überwiegt.

Schlüsselwörter

Herzchirurgische Komplikationen Ischämische Kolitis Diagnostische bildgebende Untersuchung Vasoplegie Gefäßchirurgie 

Mesenteric ischemia after cardiac surgical interventions

Cause, diagnostics and treatment

Abstract

Gastrointestinal complications after cardiac surgery include mostly cardiopulmonary, neurological and renal events. If the rare gastrointestinal complication of mesenteric ischemia occurs after cardiac surgical interventions, this is the sequela of a pre-existing long-term perfusion deficit and is the last link in a life-threatening causal chain. Due to obvious limitations mesenteric ischemia is only the subject of retrospective analyses and is still the focus of research. An evidence-based approach has not been described and a certain level of clinical expertise is a prerequisite to rapidly recognize and treat this disease pattern. The aim of this article is to compile an overview of the literature because despite increasing inclusion of evidence-based medicine in this field, the expert opinion is still predominant.

Keywords

Cardiac surgery complications Ischemic colitis Diagnostic imaging Vasoplegia Vascular surgical procedures 

Notes

Einhaltung ethischer Richtlinien

Interessenkonflikt

R. Arif, M. Verch, M. Farag und M. Karck geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

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Copyright information

© Springer Medizin Verlag GmbH, ein Teil von Springer Nature 2018

Authors and Affiliations

  1. 1.Klinik für HerzchirurgieUniversitätsklinik HeidelbergHeidelbergDeutschland

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