Acute mesenteric ischemia and infarction is an emergent situation associated with high mortality, commonly due to emboli or thrombosis of the mesenteric arteries. Embolism to the mesenteric arteries is most frequently due to a dislodged thrombus from the left atrium, left ventricle, or cardiac valves. We report a case of 70-year-old female patient with an acute small bowel infarction due to a m...

Anatomical arterial vascular supply to the liver is varied [1]. Establishing the exact variant of this blood supply is important before pancreatic surgery. Identifying the exact vascular anatomy may help in decision-making during surgery. In 1955, Michels [2] published a study on hepatic arterial anatomy which was based on 200 autopsies. The classification was revised in 1966 by Michels and the...

BACKGROUND Current knowledge on splanchnic haemodynamics in coeliac disease is limited and incomplete. AIM To evaluate splanchnic arterial and venous blood flow in coeliac disease. METHODS In 22 coeliac (13 untreated, nine treated) patients and in nine healthy subjects the following variables were assessed: vessel diameter and mean flow velocity in portal vein, splenic vein, superior mesent...

The origin and the ramification of the celiac trunk and its branches are commonly as follows. The celiac trunk has the three branches; the common hepatic, the splenic and the left gastric artery. The common hepatic artery divides into the gastroduodenal and the proper hepatic artery which has the right hepatic, the left hepatic and the cystic artery. Although variations in the ramification of t...

Mesenteric ischemia after cardiac surgery is rare but dramatic. We present a patient who had acute mesenteric ischemia following low cardiac output after coronary artery bypass grafting. Our patient was successfully treated with continuous intra-arterial perfusion with papaverine. We think that selective angiography must be performed as early as mesenteric ischemia is suspected, to get earlier ...

The mechanism underlying interorgan preconditioning of the heart remains elusive, although a role for adenosine and activation of a neurogenic pathway has been postulated. We tested in rats the hypothesis that adenosine released by the remote ischemic organ stimulates local afferent nerves, which leads to activation of myocardial adenosine receptors. Preconditioning with a 15-min mesenteric art...