A case of bowel necrosis due to acute mesenteric ischemia following pulsatile cardiopulmonary bypass

We report a case of fatal bowel necrosis possibly caused by pulsatile cardiopulmonary bypass (CPB). An 80-year-old female underwent emergency coronary artery bypass grafting (CABG) for unstable angina. Pulsatile CPB was applied because of stenosis of bilateral carotid and renal arteries. On the thir...

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Bibliographic Details
Published inAnnals of thoracic and cardiovascular surgery Vol. 4; no. 1; p. 34
Main Authors Ogino, H, Miki, S, Ueda, Y, Tahata, T
Format Journal Article
LanguageEnglish
Published Japan 01.02.1998
Subjects
Acute Disease
Aged
Aged, 80 and over
Cardiopulmonary Bypass - adverse effects
Cardiopulmonary Bypass - methods
Fatal Outcome
Female
Humans
Intestines - blood supply
Intestines - pathology
Ischemia - complications
Ischemia - etiology
Mesenteric Arteries - pathology
Necrosis
Pulsatile Flow
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Summary:We report a case of fatal bowel necrosis possibly caused by pulsatile cardiopulmonary bypass (CPB). An 80-year-old female underwent emergency coronary artery bypass grafting (CABG) for unstable angina. Pulsatile CPB was applied because of stenosis of bilateral carotid and renal arteries. On the third postoperative day, total bowel necrosis due to acute mesenteric ischemia was revealed at emergency laparotomy before her death. Pulsatile CPB may increase the risk of distal embolism of dislodged plaque in cases with severe aortic atheromatosis.
ISSN:1341-1098