Outcomes of mesenteric ischemia following abdominal aortic aneurysm surgery. A literature review

Tomas Staniulis1, Andrius Čitavičius1, Eglė Bylaitė1

1Lithuanian University of Health Sciences, Medicine Faculty

Kaunas, Lietuva


Mesenteric ischemia (MI) after abdominal aortic aneurysm surgery is a rare yet lethal condition. It occurs in 1-3% of cases. The outcome of the disorder depends on the time from MI onset to treatment. The more time has passed from the beginning of the MI, the worse chance of survival is.

Most prevalent outcomes of MI after abdominal aortic aneurysm surgery are as follows: death (25-42,2%); time spent in ICU after EVAR complicated by mesenteric ischemia is 6 days and 0 days after uncomplicated EVAR. Days in hospital after OR type surgery are as follows: 13 days after complicated OR, 1 day after uncomplicated OR, 11 days post complicated EVAR and 1 day post regular EVAR. Hemicolectomy was performed on 35.7-53.8% of patients, stents inserted to 26.9% patients and thrombectomy done for 11.5% of patients.

Keywords: Mesenteric ischemia, abdominal aortic aneurysm, outcomes.