open access

Vol 66, No 11 (2008)
Other
Published online: 2008-11-27
Submitted: 2012-12-28
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Case report
Gastrointestinal haemorrhage after off-pump coronary artery bypass

Mustafa Yildiz, Amihay Shinfeld, Ehud Raanani
Kardiol Pol 2008;66(11):1205-1206.

open access

Vol 66, No 11 (2008)
Other
Published online: 2008-11-27
Submitted: 2012-12-28

Abstract

Gastrointestinal haemorrhage secondary to off-pump coronary artery bypass grafting (OPCABG) surgery is uncommon but lethal. We describe an 83-year-old male patient who developed gastrointestinal haemorrhage after successful off-pump CABG. He received intensive treatment, but further deteriorated following noradrenaline infusion, and subsequently died six days after surgery. Off-pump technique in combination with an extensive calcified arterial system could lead to mesenteric ischaemia accounting for the postoperative gastrointestinal haemorrhage, which might be exacerbated by the use of noradrenaline in this octogenarian patient.

Abstract

Gastrointestinal haemorrhage secondary to off-pump coronary artery bypass grafting (OPCABG) surgery is uncommon but lethal. We describe an 83-year-old male patient who developed gastrointestinal haemorrhage after successful off-pump CABG. He received intensive treatment, but further deteriorated following noradrenaline infusion, and subsequently died six days after surgery. Off-pump technique in combination with an extensive calcified arterial system could lead to mesenteric ischaemia accounting for the postoperative gastrointestinal haemorrhage, which might be exacerbated by the use of noradrenaline in this octogenarian patient.
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Keywords

gastrointestinal haemorrhage; mesenteric ischaemia; noradrenaline; octogenarian; off-pump coronary artery bypass

About this article
Title

Case report
Gastrointestinal haemorrhage after off-pump coronary artery bypass

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Vol 66, No 11 (2008)

Pages

1205-1206

Published online

2008-11-27

Bibliographic record

Kardiol Pol 2008;66(11):1205-1206.

Keywords

gastrointestinal haemorrhage
mesenteric ischaemia
noradrenaline
octogenarian
off-pump coronary artery bypass

Authors

Mustafa Yildiz
Amihay Shinfeld
Ehud Raanani

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