Pii: S1010-7940(02)00015-5
نویسندگان
چکیده
Objective: Mesenteric ischaemia is an uncommon (,1%) but serious complication of cardiac surgery associated with a mortality .50%. Predictors of this complication are not well defined, and diagnosis can be difficult and prompt surgical intervention can be lifesaving. Methods and results: In a retrospective case-note analysis from May 1994 through to May 2000, we identified mesenteric ischaemia in 39 of 5349 consecutive patients (0.07%) undergoing cardiac surgery with cardiopulmonary bypass. By logistic multivariate analysis, we have identified six possible predictors of intestinal ischaemia: duration of cross-clamp, use of significant inotropic support, intra-aortic balloon counterpulsation for low cardiac output, need for blood transfusions, triple vessel disease and peripheral vascular disease. In all patients a combination of four predictors were present. Patients who survived this complication had surgical intervention earlier (6.4 ^ 3.8 h) than those who did not (16.9 ^ 10 h). Conclusions: The diagnosis and prompt treatment of mesenteric ischaemia post cardiac surgery requires a high degree of awareness. These predictors may be useful in alerting medical staff to the possibility of gastro-intestinal ischaemic complications after cardiac surgery particularly that early surgical intervention reduces mortality. q 2002 Elsevier Science B.V. All rights reserved.
منابع مشابه
Pii: S1010-7940(02)00020-9
Electrocautery has a potential risk of serious pacemaker dysfunction in patients with implanted pacemaker. Here we present the safe and efficient use of ultrasonic scalpel (Harmonic scalpel) for the first time in a patient with implanted pacemaker undergoing open-heart reoperation. q 2002 Elsevier Science B.V. All rights reserved.
متن کاملPii: S1010-7940(02)00664-4
This report describes the formation of a true aneurysm 15 years after an internal mammary artery patch aortoplasty of an aortic coarctation. A true aneurysm was confirmed on histology. To our knowledge, this is the first report of a case with such a complication. q 2002 Published by Elsevier Science B.V.
متن کاملPii: S1010-7940(02)00369-x
Lipomatous hypertrophy of the interatrial septum is an uncommon entity that usually occurs in elderly patients. We report a patient who presented with atrial fibrillation, congestive cardiac failure and a large intracavitary mass in the right atrium on echocardiography. He underwent successful resection of the mass with septal reconstruction. Pathology was consistent with lipomatous hypertrophy...
متن کاملPii: S1010-7940(02)00349-4
Arterial pseudoaneurysm has been reported as a possible complication of immunodeficiency virus infection. We report two cases of HIVpositive patients with a pseudoaneurysm at the level of the descending thoracic aorta. The first patient refused surgery and has been followed up to 14 months, whereas the second patient underwent successful surgical repair. The importance of magnetic resonance ima...
متن کاملPii: S1010-7940(02)00396-2
We present rupture of lung hydatid cyst in a patient with multiple organ involvement during albendazole treatment. The patient was first provided mechanical ventilation than residue cavity and the other intact cyst was treated surgically. We concluded that albendazole should be used in postoperative period in patients with hydatid disease of the lung to prevent recurrent disease. q 2002 Elsevie...
متن کاملPii: S1010-7940(02)00724-8
Aortobronchial fistula is a rare complication following thoracic aortic operations and is invariably fatal if not promptly diagnosed and repaired. Direct prosthetic repair carries a risk of graft repair sepsis and fistula recurrence. We describe two cases presenting with aortobronchial fistula following coarctation repair which were successfully treated by different surgical approaches. q 2002 ...
متن کامل