Intestinal Ischemia Mirrors Cardiac Angina- A Case Report

Main Article Content

Sunil Dighe
Kalyan Munde
Piyush Kalantri
Mahesh Bodke


Chronic mesenteric ischemia (intestinal angina) is a condition that is caused by stenosis or occlusion of the mesenteric arteries (Superior mesenteric artery, inferior mesenteric artery and celiac artery) and usually manifest as abdominal pain which is usually post - prandial in nature. If plaque or lesion in an artery supplying the intestines narrows the vessel so severely that sluggish blood flow causes a clot, blood flow through that artery can become completely blocked, which can lead to ischemia .While surgical revascularization has been the standard treatment for symptomatic patients in past , recent advances in interventional devices and techniques have made endovascular treatment easily available and effective treatment. Endovascular treatment is considered as minimally invasive means of obtaining good long-term results. The Coronary arteries are common hiding places for cholesterol-filled plaque and blood clots. Plaque can limit blood flow during exercise or stress, causing the chest pain or pressure known as angina. Clots may completely block blood flow, causing a heart attack or cardiac arrest. These two leading perpetrators can do similar things elsewhere in the body. When they interfere with blood flow to the digestive system, the effects can range from a stomach ache after every meal to a life threatening emergency. We report a similar case who present with unstable angina. During hospitalization he was having persistent abdominal pain and who was investigated with CT abdomen and later Angioplasty was done which further showed significant benefit to patient.

Mesenteric ischemia, percutaneous transluminal angioplasty, superior mesenteric artery, surgical revascularization

Article Details

How to Cite
Dighe, S., Munde, K., Kalantri, P., & Bodke, M. (2021). Intestinal Ischemia Mirrors Cardiac Angina- A Case Report. Cardiology and Angiology: An International Journal, 10(2), 5-9.
Case Study


Furrer J, Gruntzig A, Kugelmeier J, Goebel N. Treatment of abdominal angina with percutaneous dilatation of an arteria mesenterica stenosis. Preliminary communication. Cardiovasc Intervent Radiol. 1980;3:43–4.

Van Wanroij JL, Van Peterson AS, Huisman AB, et al. Endovascular treatment of chronic splanchnic syndrome. Eur J Vasc Endovasc Surg. 2004;28:193–200

Atkins MD, Kwolek CJ, LaMuraglia GM, et al. Surgical revascularisation versus endovascular therapy for chronic mesenteric ischemia: A comparative experience. J Vasc Surg. 2007;45:1162–71.

Sarac TP, Altinel O, Kashyap V, et al. Endovascular treatment of stenotic and occluded visceral arteries for chronic mesenteric ischemia. J Vasc Surg. 2008;47:485–91.

Lee RW, Bakken AM, Palchik E, Saad WE, Davies MG. Long-term outcomes of endoluminal therapy for chronic atherosclerotic occlusive mesenteric disease. Ann Vasc Surg. 2008;22: 541–6

Kougias P, El Sayed HF, Zhou W, Lin PH. Management of chronic mesenteric ischemia: The role of endovascular therapy. J Endovasc Ther. 2007;14: 395–405

Guo B, Guo D, Xu X, Chen B, Jiang J, Yang J, Shi Z, Fu W.Vasc Endovascular Surg. 2017;51(7):453-459.
DOI: 10.1177/1538574417720364.
Epub 2017 Aug 2.
PMID: 28764609