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A case of bowel necrosis due to acute mesenteric ischemia following pulsatile cardiopulmonary bypass
Ist Teil von
Annals of thoracic and cardiovascular surgery, 1998-02, Vol.4 (1), p.34
Ort / Verlag
Japan
Erscheinungsjahr
1998
Quelle
MEDLINE
Beschreibungen/Notizen
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.