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

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

Angiology, cilt.65, sa.5, ss.425-429, 2014 (SCI-Expanded) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 65 Sayı: 5
  • Basım Tarihi: 2014
  • Doi Numarası: 10.1177/0003319713482357
  • Dergi Adı: Angiology
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.425-429
  • Anahtar Kelimeler: acute mesenteric ischemia, atherosclerosis., cardiopulmonary bypass, gastrointestinal complications, risk factors
  • İstanbul Yeni Yüzyıl Üniversitesi Adresli: Evet

Özet

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. © The Author(s) 2013.