[Non-occlusive mesenteric ischemia after off-pump coronary artery bypass grafting].

Yasuhisa Fukada, Joji Hoshino, Shintaro Katahira, Masanori Hirota, Takayuki Gyoten, Tadashi Isomura

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Non-occlusive mesenteric ischemia( NOMI) after cardiac surgery is a rare but catastrophic complication. Although NOMI is generally recognized to be associated with extracorporeal circulation, we present a fatal case of a patient who developed NOMI after off-pump coronary artery bypass grafting (OPCAB). An 85-year-old man with left main trunk and triple vessel disease underwent OPCAB. He developed severe abdominal pain with metabolic acidosis 9 hours postoperatively. Selective angiography of the superior mesenteric artery( SMA) showed narrow and spastic branches of the SMA. A continuous intra-arterial perfusion with papaverine was started, but he died of multiple organ failure on the 3rd postoperative day. We emphasize the importance of early diagnosis and adequate treatment of NOMI including prompt exploratory laparotomy.

Original languageEnglish
Pages (from-to)534-537
Number of pages4
JournalKyobu geka. The Japanese journal of thoracic surgery
Volume65
Issue number7
Publication statusPublished - Jul 2012
Externally publishedYes

Fingerprint

Off-Pump Coronary Artery Bypass
Coronary Artery Bypass
Superior Mesenteric Artery
Papaverine
Muscle Spasticity
Extracorporeal Circulation
Multiple Organ Failure
Acidosis
Laparotomy
Abdominal Pain
Thoracic Surgery
Early Diagnosis
Angiography
Perfusion
Mesenteric Ischemia

ASJC Scopus subject areas

  • Medicine(all)

Cite this

[Non-occlusive mesenteric ischemia after off-pump coronary artery bypass grafting]. / Fukada, Yasuhisa; Hoshino, Joji; Katahira, Shintaro; Hirota, Masanori; Gyoten, Takayuki; Isomura, Tadashi.

In: Kyobu geka. The Japanese journal of thoracic surgery, Vol. 65, No. 7, 07.2012, p. 534-537.

Research output: Contribution to journalArticle

Fukada, Y, Hoshino, J, Katahira, S, Hirota, M, Gyoten, T & Isomura, T 2012, '[Non-occlusive mesenteric ischemia after off-pump coronary artery bypass grafting].', Kyobu geka. The Japanese journal of thoracic surgery, vol. 65, no. 7, pp. 534-537.
Fukada, Yasuhisa ; Hoshino, Joji ; Katahira, Shintaro ; Hirota, Masanori ; Gyoten, Takayuki ; Isomura, Tadashi. / [Non-occlusive mesenteric ischemia after off-pump coronary artery bypass grafting]. In: Kyobu geka. The Japanese journal of thoracic surgery. 2012 ; Vol. 65, No. 7. pp. 534-537.
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