PMID: 9555929Apr 29, 1998Paper

Acute mesenteric ischemia after open heart surgery

Angiology
A SchützB M Kemkes

Abstract

Acute mesenteric ischemia is a rare but severe complication after open heart surgery. Its incidence (0.2-0.4%) is quite low, but mortality rates are ranging between 70% and 100%. From October 1992 to December 1996, 4,640 patients underwent open heart surgery with cardiopulmonary bypass: 74.6% coronary artery bypass graft (CABG) operations, 23.2% valve replacement including aortic repairs, and 2.2% corrections of congenital heart diseases or tumors of the heart. The overall mortality rate (30 days) was 3.4%, and after CABG, 2.9%. Twelve patients (0.26%), following CABG (one combined with aortic valve replacement, one with mitral reconstruction, and one with carotid disobliteration) developed signs of acute mesenteric ischemia in the early postoperative period (day 1 to 5). In all patients various abdominal symptoms, leukocytosis, acidosis, hyperlactatemia, hyperosmolality, renal failure, and, finally, hemodynamic instability were observed. Eleven patients underwent emergency laparotomy. Mesenteric angiography was done if possible in still stable patients (n=7); it showed severe stenosis or occlusion prior to the operation in each case. Other diagnostic methods were not reliable. In six patients (55%) during the first look, exten...Continue Reading

References

Mar 1, 1991·The British Journal of Surgery·S P HuddyJ R Pepper
Aug 1, 1993·American Journal of Surgery·M GennaroP Uceda

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Citations

Feb 21, 2008·Langenbeck's Archives of Surgery·Dalibor AntolovicJürgen Weitz
Feb 24, 2001·The Annals of Thoracic Surgery·U S BostonD J Cook
May 9, 2012·Interactive Cardiovascular and Thoracic Surgery·Philip Y K PangYeow Leng Chua
Sep 23, 2008·World Journal of Gastroenterology : WJG·Bassam AbboudJoe Boujaoude
Jun 2, 2011·Journal of Clinical Medicine Research·Katherine WheatleySundeep Kaul
Dec 1, 2001·Zeitschrift für Kardiologie·U RosendahlJ Ennker
Jan 16, 2014·International Journal of Colorectal Disease·Jörg GenstorferRachel Rosenthal
Jun 19, 2014·Interactive Cardiovascular and Thoracic Surgery·Priya SastryDavid P Jenkins
Jan 29, 2016·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·J V T TilsedH Yanar
Jul 28, 2013·The Surgical Clinics of North America·Joseph L Bobadilla
Oct 15, 2009·Anesthesiology Clinics·Alexander A Vitin, Julia I Metzner
Jan 22, 2009·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Christof M Sommer, Boris A Radeleff
Oct 26, 2006·The Annals of Thoracic Surgery·Jamal H KhanElaine A Davis
Jul 1, 1999·Clinics in Chest Medicine·A LioliosE Benjamin
Mar 26, 2002·Critical Care Clinics·Stephan M Jakob, Jukka Takala
Aug 23, 2001·The Annals of Thoracic Surgery·J M SlaterD J Cook
Oct 15, 2013·Journal of Cardiothoracic and Vascular Anesthesia·Jörn Karhausen, Mark Stafford-Smith
Jan 25, 2000·The Journal of Surgical Research·S TowfighC Chandler
Dec 16, 2016·PloS One·Rawa ArifAlexander Weymann
Mar 4, 2014·Asian Cardiovascular & Thoracic Annals·Richard WarwickMichael Poullis
May 17, 2018·Trauma Surgery & Acute Care Open·Joshua TsengRodrigo F Alban
Sep 26, 2008·Interactive Cardiovascular and Thoracic Surgery·Bassam AbboudVictor Jebara
Apr 3, 2001·Annual Review of Neuroscience·R Wechsler-Reya, M P Scott
Feb 23, 2018·World Journal of Gastroenterology : WJG·Hui-Rong JingYun Zhou
Jan 4, 2003·The Medical Clinics of North America·Zvi LefkovitzPerry S Gerard

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