Mysterious abdominal pain

Alberto Cappelletti, Nicole Cristell, Monica Mazzavillani, Alberto Margonato

Research output: Contribution to journalArticle

Abstract

A man presented to the emergency room with recurrent episodes of abdominal pain. He had a history of coronary artery bypass grafting of the left internal mammary artery (LIMA) to the left anterior descending (LAD) artery and the right gastroepiploic artery to the posterior descending artery. After numerous gastrointestinal evaluations, a stress test was performed, which was positive. Coronary angiography showed a proximal occlusion of the LAD and right coronary artery and a normal functioning LIMA bypass. Aortography showed a 95% stenosis of the celiac trunk. Angioplasty and stent implantation of the celiac trunk was successfully performed. Six months later the patient was completely asymptomatic with a negative stress test. In conclusion, abdominal pain in patients who have undergone coronary artery bypass surgery using the right gastroepiploic artery should raise suspicion not only of a stenosis of the arterial conduit but also of a potential stenosis of the celiac trunk.

Original languageEnglish
Pages (from-to)181-183
Number of pages3
JournalInternational Journal of Angiology
Volume20
Issue number3
DOIs
Publication statusPublished - Sep 2011

Keywords

  • Abdominal pain
  • angioplasty
  • celiac trunk
  • coronary artery bypass grafting
  • right gastroepiploic artery
  • stent implantation

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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  • Cite this

    Cappelletti, A., Cristell, N., Mazzavillani, M., & Margonato, A. (2011). Mysterious abdominal pain. International Journal of Angiology, 20(3), 181-183. https://doi.org/10.1055/s-0031-1284202