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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 2005 to Ma...

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Autores principales: Eris, Cuneyt, Yavuz, Senol, Yalcinkaya, Serhat, Gucu, Arif, Toktas, Faruk, Yumun, Gunduz, Erdolu, Burak, Ozyazıcıoglu, Ahmet
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3826337/
https://www.ncbi.nlm.nih.gov/pubmed/24288499
http://dx.doi.org/10.1155/2013/631534
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author Eris, Cuneyt
Yavuz, Senol
Yalcinkaya, Serhat
Gucu, Arif
Toktas, Faruk
Yumun, Gunduz
Erdolu, Burak
Ozyazıcıoglu, Ahmet
author_facet Eris, Cuneyt
Yavuz, Senol
Yalcinkaya, Serhat
Gucu, Arif
Toktas, Faruk
Yumun, Gunduz
Erdolu, Burak
Ozyazıcıoglu, Ahmet
author_sort Eris, Cuneyt
collection PubMed
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 (P = 0.03), renal insufficiency (P = 0.004), peripheral vascular disease (P = 0.04), preoperative inotropic support (P < 0.001), poor left ventricular ejection fraction (P = 0.002), cardiogenic shock (P = 0.003), and preoperative intra-aortic balloon pump (IABP) support (P = 0.05) revealed significantly higher levels in the AMI group. Among intra- and postoperative parameters, CPB time (P < 0.001), dialysis (P = 0.04), inotropic support (P = 0.007), prolonged ventilator time (P < 0.001), and IABP support (P = 0.007) 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.
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spelling pubmed-38263372013-11-28 Acute Mesenteric Ischemia after Cardiac Surgery: An Analysis of 52 Patients Eris, Cuneyt Yavuz, Senol Yalcinkaya, Serhat Gucu, Arif Toktas, Faruk Yumun, Gunduz Erdolu, Burak Ozyazıcıoglu, Ahmet ScientificWorldJournal Clinical Study 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 (P = 0.03), renal insufficiency (P = 0.004), peripheral vascular disease (P = 0.04), preoperative inotropic support (P < 0.001), poor left ventricular ejection fraction (P = 0.002), cardiogenic shock (P = 0.003), and preoperative intra-aortic balloon pump (IABP) support (P = 0.05) revealed significantly higher levels in the AMI group. Among intra- and postoperative parameters, CPB time (P < 0.001), dialysis (P = 0.04), inotropic support (P = 0.007), prolonged ventilator time (P < 0.001), and IABP support (P = 0.007) 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. Hindawi Publishing Corporation 2013-10-27 /pmc/articles/PMC3826337/ /pubmed/24288499 http://dx.doi.org/10.1155/2013/631534 Text en Copyright © 2013 Cuneyt Eris et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Clinical Study
Eris, Cuneyt
Yavuz, Senol
Yalcinkaya, Serhat
Gucu, Arif
Toktas, Faruk
Yumun, Gunduz
Erdolu, Burak
Ozyazıcıoglu, Ahmet
Acute Mesenteric Ischemia after Cardiac Surgery: An Analysis of 52 Patients
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
topic Clinical Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3826337/
https://www.ncbi.nlm.nih.gov/pubmed/24288499
http://dx.doi.org/10.1155/2013/631534
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