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Intestinal angina in a patient with hypertrophic obstructive cardiomyopathy: a case report
BACKGROUND: Intestinal angina is characterized by recurrent postprandial abdominal pain and anorexia. Commonly, these symptoms are caused by severe stenosis of at least two vessels among the celiac and mesenteric arteries. However, intestinal perfusion is affected not only by the degree of arterial...
Autores principales: | , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5043615/ https://www.ncbi.nlm.nih.gov/pubmed/27686381 http://dx.doi.org/10.1186/s13256-016-1055-8 |
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author | Hamaoka, Takuto Omi, Wataru Sekiguti, Yoshiteru Takata, Shigeo Kaneko, Shuichi Inoue, Oto Takashima, Shinichiro Murai, Hisayoshi Usui, Soichiro Kato, Takeshi Furusho, Hiroshi Takamura, Masayuki |
author_facet | Hamaoka, Takuto Omi, Wataru Sekiguti, Yoshiteru Takata, Shigeo Kaneko, Shuichi Inoue, Oto Takashima, Shinichiro Murai, Hisayoshi Usui, Soichiro Kato, Takeshi Furusho, Hiroshi Takamura, Masayuki |
author_sort | Hamaoka, Takuto |
collection | PubMed |
description | BACKGROUND: Intestinal angina is characterized by recurrent postprandial abdominal pain and anorexia. Commonly, these symptoms are caused by severe stenosis of at least two vessels among the celiac and mesenteric arteries. However, intestinal perfusion is affected not only by the degree of arterial stenosis but also by systemic perfusion. We experienced a unique case of intestinal angina caused by relatively mild stenosis of the abdominal arteries complicated with hypertrophic obstructive cardiomyopathy. CASE PRESENTATION: We report an 86-year old Japanese man with hypertrophic obstructive cardiomyopathy and advanced atrioventricular block who was diagnosed with intestinal angina. Computed tomography showed mild stenosis of the celiac artery and severe stenosis of the inferior mesenteric artery, and these lesions were relatively mild compared with other reports. A dual-chamber pacemaker with right ventricular apical pacing was implanted to improve the obstruction of the left ventricular outflow tract. After implantation, the patient’s abdominal symptoms diminished markedly, and improvement of the left ventricular outflow tract obstruction was observed. CONCLUSIONS: Although intestinal angina is generally defined by severe stenosis of at least two vessels among the celiac and mesenteric arteries, the present case suggests that hemodynamic changes can greatly affect intestinal perfusion and induce intestinal angina in the presence of mild stenosis of the celiac and mesenteric arteries. |
format | Online Article Text |
id | pubmed-5043615 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-50436152016-10-05 Intestinal angina in a patient with hypertrophic obstructive cardiomyopathy: a case report Hamaoka, Takuto Omi, Wataru Sekiguti, Yoshiteru Takata, Shigeo Kaneko, Shuichi Inoue, Oto Takashima, Shinichiro Murai, Hisayoshi Usui, Soichiro Kato, Takeshi Furusho, Hiroshi Takamura, Masayuki J Med Case Rep Case Report BACKGROUND: Intestinal angina is characterized by recurrent postprandial abdominal pain and anorexia. Commonly, these symptoms are caused by severe stenosis of at least two vessels among the celiac and mesenteric arteries. However, intestinal perfusion is affected not only by the degree of arterial stenosis but also by systemic perfusion. We experienced a unique case of intestinal angina caused by relatively mild stenosis of the abdominal arteries complicated with hypertrophic obstructive cardiomyopathy. CASE PRESENTATION: We report an 86-year old Japanese man with hypertrophic obstructive cardiomyopathy and advanced atrioventricular block who was diagnosed with intestinal angina. Computed tomography showed mild stenosis of the celiac artery and severe stenosis of the inferior mesenteric artery, and these lesions were relatively mild compared with other reports. A dual-chamber pacemaker with right ventricular apical pacing was implanted to improve the obstruction of the left ventricular outflow tract. After implantation, the patient’s abdominal symptoms diminished markedly, and improvement of the left ventricular outflow tract obstruction was observed. CONCLUSIONS: Although intestinal angina is generally defined by severe stenosis of at least two vessels among the celiac and mesenteric arteries, the present case suggests that hemodynamic changes can greatly affect intestinal perfusion and induce intestinal angina in the presence of mild stenosis of the celiac and mesenteric arteries. BioMed Central 2016-09-29 /pmc/articles/PMC5043615/ /pubmed/27686381 http://dx.doi.org/10.1186/s13256-016-1055-8 Text en © The Author(s). 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Case Report Hamaoka, Takuto Omi, Wataru Sekiguti, Yoshiteru Takata, Shigeo Kaneko, Shuichi Inoue, Oto Takashima, Shinichiro Murai, Hisayoshi Usui, Soichiro Kato, Takeshi Furusho, Hiroshi Takamura, Masayuki Intestinal angina in a patient with hypertrophic obstructive cardiomyopathy: a case report |
title | Intestinal angina in a patient with hypertrophic obstructive cardiomyopathy: a case report |
title_full | Intestinal angina in a patient with hypertrophic obstructive cardiomyopathy: a case report |
title_fullStr | Intestinal angina in a patient with hypertrophic obstructive cardiomyopathy: a case report |
title_full_unstemmed | Intestinal angina in a patient with hypertrophic obstructive cardiomyopathy: a case report |
title_short | Intestinal angina in a patient with hypertrophic obstructive cardiomyopathy: a case report |
title_sort | intestinal angina in a patient with hypertrophic obstructive cardiomyopathy: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5043615/ https://www.ncbi.nlm.nih.gov/pubmed/27686381 http://dx.doi.org/10.1186/s13256-016-1055-8 |
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