Acute Mesenteric Ischemia after Cardiac Surgery: An Analysis of 52 Patients
Objective. Acute mesenteric ischemia (AMI) is a rare but serious complication after cardiac surgery. The aim of this retrospective study was to evaluate the incidence, outcome, and perioperative risk factors of AMI in the patients undergoing elective cardiac surgery. Methods. From January...
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2013-01-01
|
| Series: | The Scientific World Journal |
| Online Access: | http://dx.doi.org/10.1155/2013/631534 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832559140300390400 |
|---|---|
| author | Cuneyt Eris Senol Yavuz Serhat Yalcinkaya Arif Gucu Faruk Toktas Gunduz Yumun Burak Erdolu Ahmet Ozyazıcıoglu |
| author_facet | Cuneyt Eris Senol Yavuz Serhat Yalcinkaya Arif Gucu Faruk Toktas Gunduz Yumun Burak Erdolu Ahmet Ozyazıcıoglu |
| author_sort | Cuneyt Eris |
| collection | DOAJ |
| description | Objective. Acute mesenteric ischemia (AMI) is a rare but serious complication after cardiac surgery.
The aim of this retrospective study was to evaluate the incidence, outcome, and perioperative risk factors of AMI in
the patients undergoing elective cardiac surgery. Methods. From January 2005 to May 2013, all patients who
underwent cardiac surgery were screened for participation, and patients with registered gastrointestinal
complications were retrospectively reviewed. Univariate analyses were performed. Results. The study
included 6013 patients, of which 52 (0.86%) patients suffered from AMI, 35 (67%) of whom died.
The control group (150 patients) was randomly chosen from among cases undergoing cardiopulmonary bypass
(CPB). Preoperative parameters including age (), renal insufficiency (), peripheral vascular disease
(), preoperative inotropic support (), poor left ventricular ejection fraction (),
cardiogenic shock (), and preoperative intra-aortic balloon pump (IABP) support
() revealed significantly higher levels in the AMI group. Among intra- and postoperative
parameters, CPB time (), dialysis (), inotropic support (), prolonged
ventilator time (), and IABP support () appeared significantly higher in the AMI
group than the control group. Conclusions. Prompt diagnosis and early treatment should be initiated
as early as possible in any patient suspected of AMI, leading to dramatic reduction in the mortality rate. |
| format | Article |
| id | doaj-art-649599503ffd4edca4e55acbb1630cee |
| institution | Kabale University |
| issn | 1537-744X |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | The Scientific World Journal |
| spelling | doaj-art-649599503ffd4edca4e55acbb1630cee2025-02-03T01:30:45ZengWileyThe Scientific World Journal1537-744X2013-01-01201310.1155/2013/631534631534Acute Mesenteric Ischemia after Cardiac Surgery: An Analysis of 52 PatientsCuneyt Eris0Senol Yavuz1Serhat Yalcinkaya2Arif Gucu3Faruk Toktas4Gunduz Yumun5Burak Erdolu6Ahmet Ozyazıcıoglu7Departments of Cardiovascular Surgery, Bursa Yuksek Ihtisas Education and Research Hospital, 16330 Bursa, TurkeyDepartments of Cardiovascular Surgery, Bursa Yuksek Ihtisas Education and Research Hospital, 16330 Bursa, TurkeyDepartments of Thoracic Surgery, Bursa Yuksek Ihtisas Education and Research Hospital, 16330 Bursa, TurkeyDepartments of Cardiovascular Surgery, Bursa Yuksek Ihtisas Education and Research Hospital, 16330 Bursa, TurkeyDepartments of Cardiovascular Surgery, Bursa Yuksek Ihtisas Education and Research Hospital, 16330 Bursa, TurkeyDepartments of Cardiovascular Surgery, Bursa Yuksek Ihtisas Education and Research Hospital, 16330 Bursa, TurkeyDepartments of Cardiovascular Surgery, Bursa Yuksek Ihtisas Education and Research Hospital, 16330 Bursa, TurkeyDepartments of Cardiovascular Surgery, Bursa Yuksek Ihtisas Education and Research Hospital, 16330 Bursa, TurkeyObjective. Acute mesenteric ischemia (AMI) is a rare but serious complication after cardiac surgery. The aim of this retrospective study was to evaluate the incidence, outcome, and perioperative risk factors of AMI in the patients undergoing elective cardiac surgery. Methods. From January 2005 to May 2013, all patients who underwent cardiac surgery were screened for participation, and patients with registered gastrointestinal complications were retrospectively reviewed. Univariate analyses were performed. Results. The study included 6013 patients, of which 52 (0.86%) patients suffered from AMI, 35 (67%) of whom died. The control group (150 patients) was randomly chosen from among cases undergoing cardiopulmonary bypass (CPB). Preoperative parameters including age (), renal insufficiency (), peripheral vascular disease (), preoperative inotropic support (), poor left ventricular ejection fraction (), cardiogenic shock (), and preoperative intra-aortic balloon pump (IABP) support () revealed significantly higher levels in the AMI group. Among intra- and postoperative parameters, CPB time (), dialysis (), inotropic support (), prolonged ventilator time (), and IABP support () appeared significantly higher in the AMI group than the control group. Conclusions. Prompt diagnosis and early treatment should be initiated as early as possible in any patient suspected of AMI, leading to dramatic reduction in the mortality rate.http://dx.doi.org/10.1155/2013/631534 |
| spellingShingle | Cuneyt Eris Senol Yavuz Serhat Yalcinkaya Arif Gucu Faruk Toktas Gunduz Yumun Burak Erdolu Ahmet Ozyazıcıoglu Acute Mesenteric Ischemia after Cardiac Surgery: An Analysis of 52 Patients The Scientific World Journal |
| title | Acute Mesenteric Ischemia after Cardiac Surgery: An Analysis of 52 Patients |
| title_full | Acute Mesenteric Ischemia after Cardiac Surgery: An Analysis of 52 Patients |
| title_fullStr | Acute Mesenteric Ischemia after Cardiac Surgery: An Analysis of 52 Patients |
| title_full_unstemmed | Acute Mesenteric Ischemia after Cardiac Surgery: An Analysis of 52 Patients |
| title_short | Acute Mesenteric Ischemia after Cardiac Surgery: An Analysis of 52 Patients |
| title_sort | acute mesenteric ischemia after cardiac surgery an analysis of 52 patients |
| url | http://dx.doi.org/10.1155/2013/631534 |
| work_keys_str_mv | AT cuneyteris acutemesentericischemiaaftercardiacsurgeryananalysisof52patients AT senolyavuz acutemesentericischemiaaftercardiacsurgeryananalysisof52patients AT serhatyalcinkaya acutemesentericischemiaaftercardiacsurgeryananalysisof52patients AT arifgucu acutemesentericischemiaaftercardiacsurgeryananalysisof52patients AT faruktoktas acutemesentericischemiaaftercardiacsurgeryananalysisof52patients AT gunduzyumun acutemesentericischemiaaftercardiacsurgeryananalysisof52patients AT burakerdolu acutemesentericischemiaaftercardiacsurgeryananalysisof52patients AT ahmetozyazıcıoglu acutemesentericischemiaaftercardiacsurgeryananalysisof52patients |