[Non-cardiac complications after open heart surgery].
The most important complications after open heart surgery are neurological, gastrointestinal (GI), and renal complications. New neurological deficits may occur in 1%, and neuropsychiatric alterations may be observed in 40%. In 6% peripheral neurological damage occurs. Endoscopy in all patients whose clinical history suggests signs of gastric ulcer disease, and perioperative H2-blocking therapy are effective in reducing severe GI bleeding to 1%. Small-bowel ischemia is a rare but high risk complication. Hepatitis due to homologous blood transfusion is as low as 2%-3%. Postoperative renal insufficiency occurs in 1% needing hemodialysis. Good hemodynamic condition during and after surgery reduces the frequency of extracardiac complications as well as the reduction of use of homologous blood transfusions for open heart surgery.
Schlosser
V
V
Abt. für Herz- u. Gefässchirurgie, Chirurg. Univ.-Klinik Freiburg.
Fraedrich
G
G
D006331:Heart Diseases / Q000601:surgery*; D006801:Humans; D011183:Postoperative Complications / Q000209:etiology* / Q000517:prevention & control; D012307:Risk Factors
Nicht kardiale Komplikationen nach Eingriffen am offenen Herzen.