Symptomatic mesenteric ischaemia is an uncommon disease entity which can prove complicated to diagnose and manage. Both
endovascular and open operative approaches have been described but the nutritional complications caused by poor gut absorption
can mean that these patients may be at higher risk of operative complications, and appropriate care should be given to preoperative
nutritional optimisation prior to surgical management.
We present a case of critical mesenteric arterial stenosis treated with preoperative intravenous iron supplementation to
illustrate preoperative optimisation and therapeutic approaches, together with a selected review of the literature
Preoperative parenteral iron supplementation is likely to be effective in reducing preoperative anaemia but the impact of this
intervention on postoperative blood transfusion and other complications in the context of complex aortic surgery is unknown.
Keywords: Critical Mesenteric Ischaemia; Iron Supplementation; Preoperative Optimisation