PMID: 6968361Oct 17, 1980Paper

Emergency laparotomy immediately after coronary bypass

JAMA : the Journal of the American Medical Association
A Lucas, M H Max

Abstract

Eight patients required emergency laparotomy in the immediate postoperative period after coronary artery bypass (CAB). Cardiac complications were few and minor. Sepsis was the major cause of mortality. In the two patients who died, delay in operative management contributed to their deaths. The lack of cardiac causes of morbidity and mortality in our series and others suggests that a stable postoperative coronary bypass patient represents a better surgical risk than the same patient preoperatively. Therefore, aggressive management, including early laparotomy, for suspected intra-abdominal pathology after CAB is recommended to avoid uncontrollable sepsis and death.

Citations

May 1, 1986·Chest·N A BurtonF C Lough
Oct 1, 1991·The Annals of Thoracic Surgery·S K OhriK M Taylor
Jul 1, 1983·American Journal of Surgery·C W Pinson, R E Alberty
Jun 1, 1994·American Journal of Surgery·G G TsiotosJ A van Heerden
Sep 18, 2004·Seminars in Cardiothoracic and Vascular Anesthesia·Eugene A Hessel
Aug 1, 1989·International Journal of Colorectal Disease·J M Badia-PèrezA Sitges-Serra
Nov 1, 1995·Diseases of the Colon and Rectum·T VisserJ Glover
Jan 1, 1987·Scandinavian Journal of Thoracic and Cardiovascular Surgery·L O Heikkinen, K V Ala-Kulju

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