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Jaundice after surgery for an aortic arch aneurysm
K Onoguchi1, T Hachiya, T Sasaki
1Department of Cardiovascular Surgery, Saitama Cardiovascular and Respiratory Center, Saitama, Japan.
The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyobu Geka Gakkai Zasshi
|August 3, 2001
Summary
Post-surgery jaundice and sepsis in a patient with an aortic arch aneurysm resolved with improved liver function. This case highlights the connection between hepatic excretory function and post-operative complications.
Area of Science:
- Hepatology
- Vascular Surgery
- Infectious Disease
Background:
- A 57-year-old patient underwent surgery for an aortic arch aneurysm.
- Post-operative complications included hyperbilirubinemia and Pseudomonas sepsis.
Observation:
- The patient presented with jaundice, characterized by colorless, low-volume biliary drainage from the common bile duct.
- This indicated a disturbance in the liver's excretory system.
Findings:
- The jaundice and sepsis were directly linked to the impaired hepatic excretory function.
- Resolution of sepsis and jaundice occurred concurrently with the recovery of liver function.
Implications:
- This case underscores the critical role of hepatic excretory function in managing post-operative complications.
- It highlights the potential for liver dysfunction to manifest as jaundice and sepsis following major vascular surgery.