Gastrointestinal complications after open heart surgery: incidence and determinants of risk factors.

Abstract:

:Acute mesenteric ischemia is a rare but serious complication of open heart surgery. Between January 2009 and January 2012, 1360 adult patients underwent open heart surgery with cardiopulmonary bypass at our institution; 29 patients presented gastrointestinal complications. Eight patients developed acute mesenteric ischemia and all of them died. Significant predictors of the complication were New York Heart Association functional class III/IV, history of extensive atherosclerosis and chronic renal failure, acute renal failure following surgery, low cardiac output, use of 2 or more vasoconstrictor drugs, prolonged mechanical ventilation, and multiorgan failure. Atherosclerosis is a multisystemic disease that affects several organs. Radiologic evaluation of mesenteric arterial system should be performed in high-risk patient populations. Perioperative percutaneous and open vascular procedures will reduce the risk of acute mesenteric ischemia that may develop after cardiac surgery and consequent morbidity and mortality rates.

journal_name

Angiology

journal_title

Angiology

authors

Sever K,Ozbek C,Goktas B,Bas S,Ugurlucan M,Mansuroglu D

doi

10.1177/0003319713482357

subject

Has Abstract

pub_date

2014-05-01 00:00:00

pages

425-9

issue

5

eissn

0003-3197

issn

1940-1574

pii

0003319713482357

journal_volume

65

pub_type

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