Gastrointestinal complication after open cardiac operation

Seven cases of abdominal complications necessitated laparotomies within 30 days after open heart surgery are presented. They consist of five cases of mesenteric infarction, one acalculous cholecystitis and one hemorrhagic ulcer of the rectum. The incidence is 0.9 percent at our institute. They also...

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Bibliographic Details
Published inKyobu geka. The Japanese journal of thoracic surgery Vol. 46; no. 13; p. 1122
Main Authors Moriyama, Y, Toyohira, H, Shimokawa, S, Umebayashi, Y, Saigenji, H, Ogata, S, Tanaka, K, Taira, A
Format Journal Article
LanguageJapanese
Published Japan 01.12.1993
Subjects
Abdomen, Acute - surgery
Adult
Emergencies
Female
Gastrointestinal Diseases - surgery
Heart Diseases - surgery
Humans
Laparotomy
Male
Middle Aged
Postoperative Complications - surgery
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Summary:Seven cases of abdominal complications necessitated laparotomies within 30 days after open heart surgery are presented. They consist of five cases of mesenteric infarction, one acalculous cholecystitis and one hemorrhagic ulcer of the rectum. The incidence is 0.9 percent at our institute. They also had a very complex course after their cardiac surgery such as cardiogenic shock, respiratory failure and renal failure prior to the development of their acute surgical abdomen. It is proposed that the cause of acute abdomen is attributed basically to the low cardiac output state. Surgery must be performed without delay because unnecessary passage of time is accompanied by unacceptable mortality rate.
ISSN:0021-5252