Title

Complex case of acute mesenteric ischemia in a patient with atrial fibrillation: A radiologic -surgical collaboration for timely intervention

Authors

Pritika Gnanasekaran¹, Navaneeth Ranjith², Devta Viswam³, Kaushik Rajavel⁴ & Pavithra Rekha Ravikumar^5,*

Affiliation

¹Department of Medicine, Global Medical Centre, Salem, Tamil Nadu, India; ²Department of Urology, Caritas Hospital, Kottayam, Kerala, India; ³Department of Radiology, Caritas Hospital, Kottayam, Kerala, India; ⁴Department of Orthopaedics, Madras Medical College, Chennai, Tamil Nadu, India; ⁵Department of Obstetrics & Gynaecology, Madras Medical College, Chennai, Tamil Nadu, India; *Corresponding author

Email

Pritika Gnanasekaran - E - mail: prithika33378@gmail.com; Phone no: +91 9500631112

Navaneeth Ranjith - E - mail: navu93@gmail.com; Phone no: +91 7736415446

Devta Viswam - E - mail: devtaviswam@gmail.com; Phone no: +91 8903693002

Kaushik Rajavel - E - mail: kaushikr246@gmail.com; Phone no: +91 9677391827

Pavithra Rekha Ravikumar - E - mail: paviroja24@gmail.com; Phone no: +91 9445835877

Article Type

Research Article

Date

Received December 1, 2024; Revised December 31, 2024; Accepted December 31, 2024, Published December 31, 2024

Abstract

Acute mesenteric ischemia (AMI), often caused by embolic events in patients with atrial fibrillation (AF), can lead to bowel necrosis without timely intervention. This study evaluated the role of CT angiography (CTA) in diagnosing AMI and its impact on surgical outcomes through radiologic-surgical collaboration in 100 AF patients. CTA demonstrated a high diagnostic accuracy, correctly identifying AMI in 92% of cases (p < 0.001) and facilitated early surgical intervention in 75% of patients, achieving an 80% success rate. Delayed interventions were associated with increased morbidity and mortality (p = 0.003). These findings highlight the effectiveness of CTA in diagnosing AMI and underscore the importance of timely radiologic-surgical collaboration for optimal patient outcomes.

Keywords

Acute mesenteric ischemia, atrial fibrillation, CT angiography, embolic events, surgical intervention, radiology.

Citation

Gnanasekaran et al. Bioinformation 20(12): 1922-1926 (2024)

Edited by

A Prashanth

ISSN

0973-2063

Publisher

Biomedical Informatics

License

This is an Open Access article which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. This is distributed under the terms of the Creative Commons Attribution License.