A case of bowel necrosis due to acute mesenteric ischemia following pulsatile cardiopulmonary bypass.
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.
Ogino
H
H
Department of Cardiovascular Surgery, Tenri Hospital, 200 Mishima-cho, Tenri, Nara 632-0015, Japan.
Miki
S
S
Ueda
Y
Y
Tahata
T
T
D000208:Acute Disease; D000368:Aged; D000369:Aged, 80 and over; D002315:Cardiopulmonary Bypass / Q000009:adverse effects* / Q000379:methods; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007422:Intestines / Q000098:blood supply* / Q000473:pathology*; D007511:Ischemia / Q000150:complications* / Q000209:etiology; D008638:Mesenteric Arteries / Q000473:pathology*; D009336:Necrosis; D011673:Pulsatile Flow