Meckel's diverticulum ischemia caused by thromboembolism after coronary artery bypass grafting

Michael G. Katz, Mordechai Shimonov, Oleg Sukmanov, Letizia Schreiber, Hagi Dekel, Lior Sasson*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

A 75-year-old woman underwent emergency coronary artery bypass surgery after acute anterior wall myocardial infarction. Because of the presence of a local peritonitis, an emergency laparotomy was performed in which necrotizing Meckel's diverticulum was found and resected. Microscopically, sections through the diverticulum revealed a fresh thrombus occluded the arterial lumen of diverticulum. The patient had an uneventful postoperative course. We believe that the cause of Meckel's diverticulum ischemia was the development of atrial fibrillation with left atrium thrombus formation followed by embolic obliteration of Meckel's diverticulum feeding artery.

Original languageEnglish
Pages (from-to)674-676
Number of pages3
JournalJournal of Cardiac Surgery
Volume24
Issue number6
DOIs
StatePublished - Nov 2009

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