Abdominal abscess: late complication after gastroepiploic coronary artery bypass grafting.
The gastroepiploic artery is widely used an arterial conduit during coronary artery revascularisation surgery. We report an unusual complication of a 56-year-old man who developed a late intra-abdominal abscess extending into the mediastinum adjacent to the right ventricle more than 2 years after surgery. This was managed with percutaneous drainage and the patient made a full recovery. The case illustrates the potential problems associated with harvesting of this artery and the need for careful haemostasis.
Lloyd
C T
CT
Bristol Heart Institute, Bristol Royal Infirmary, UK.
Ascione
R
R
Gupta
S
S
Angelini
G D
GD
D018784:Abdominal Abscess / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003131:Combined Modality Therapy; D001026:Coronary Artery Bypass / Q000009:adverse effects* / Q000379:methods; D004322:Drainage / Q000379:methods; D006801:Humans; D008297:Male; D008875:Middle Aged; D017202:Myocardial Ischemia / Q000601:surgery; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents