Acute bowel ischemia after heart operations

Ann Thorac Surg. 2014 Jun;97(6):2219-27. doi: 10.1016/j.athoracsur.2014.01.029. Epub 2014 Mar 28.


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.

Publication types

  • Review

MeSH terms

  • Acute Disease
  • Cardiac Surgical Procedures / adverse effects*
  • Cardiopulmonary Bypass
  • Humans
  • Intestines / blood supply*
  • Intra-Aortic Balloon Pumping
  • Ischemia / etiology*
  • Postoperative Complications
  • Risk Factors
  • Tomography, X-Ray Computed