PMID- 7655853
OWN - NLM
STAT- MEDLINE
DCOM- 19951005
LR  - 20191023
IS  - 0967-2109 (Print)
IS  - 0967-2109 (Linking)
VI  - 3
IP  - 3
DP  - 1995 Jun
TI  - Gastrointestinal complications following cardiac surgery.
PG  - 341-4
AB  - This study sought to determine which factors influence the mortality rate in 
      patients developing gastrointestinal complications following cardiac surgery. 
      Between July 1988 and January 1992, 2054 patients underwent cardiac surgical 
      procedures at the Boston University Medical Center. Of these, 29 (1.4%) developed 
      postoperative gastrointestinal complications. The overall mortality rate among 
      these patients was 27% (8/29). Those who died following such complications had a 
      higher incidence of New York Heart Association (NYHA) class IV and unstable 
      symptoms (8/8, 100% versus 3/21, 14%; P < 0.0001), and an increased need for 
      preoperative intra-aortic balloon pump support (4/8, 50% versus 1/21, 5%; P < 
      0.004). The need for gastrointestinal surgical intervention increased the 
      mortality rate significantly compared with patients managed medically (8/18, 44% 
      versus 0/11, 0%; P < 0.01). Patients with ischemic bowel also had a significantly 
      higher mortality (5/5, 100% versus 3/24, 12%; P < 0.001). It is concluded that 
      most patients with gastrointestinal complications following cardiac surgery can 
      be treated, and with acceptable mortality rates. The presence of unstable 
      symptoms, preoperative intra-aortic balloon pump support, ischemic bowel and the 
      need for gastrointestinal surgical intervention adversely affect mortality.
FAU - Lazar, H L
AU  - Lazar HL
AD  - Department of Cardiothoracic Surgery, Boston University Medical Center, 
      Massachusetts, USA.
FAU - Hudson, H
AU  - Hudson H
FAU - McCann, J
AU  - McCann J
FAU - Fonger, J D
AU  - Fonger JD
FAU - Birkett, D
AU  - Birkett D
FAU - Aldea, G S
AU  - Aldea GS
FAU - Shemin, R J
AU  - Shemin RJ
LA  - eng
PT  - Journal Article
PL  - England
TA  - Cardiovasc Surg
JT  - Cardiovascular surgery (London, England)
JID - 9308765
SB  - IM
MH  - Aged
MH  - Cause of Death
MH  - *Coronary Artery Bypass
MH  - Female
MH  - Follow-Up Studies
MH  - Gastrointestinal Diseases/*mortality/surgery
MH  - Gastrointestinal Hemorrhage/mortality/surgery
MH  - *Heart Valve Prosthesis
MH  - Humans
MH  - Intestines/blood supply
MH  - Intra-Aortic Balloon Pumping
MH  - Ischemia/mortality
MH  - Male
MH  - Peptic Ulcer Perforation/mortality/surgery
MH  - Postoperative Complications/*mortality
MH  - Reoperation
MH  - Risk Factors
MH  - Survival Rate
EDAT- 1995/06/01 00:00
MHDA- 1995/06/01 00:01
CRDT- 1995/06/01 00:00
PHST- 1995/06/01 00:00 [pubmed]
PHST- 1995/06/01 00:01 [medline]
PHST- 1995/06/01 00:00 [entrez]
AID - 096721099593888V [pii]
AID - 10.1016/0967-2109(95)93888-v [doi]
PST - ppublish
SO  - Cardiovasc Surg. 1995 Jun;3(3):341-4. doi: 10.1016/0967-2109(95)93888-v.