Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Abdominal complications after heart surgery.

Jamal H Khan1, April M Lambert, Joseph H Habib

  • 1Charleston Area Medical Center, Charleston, West Virginia, USA. jamal.khan@camc.org

The Annals of Thoracic Surgery
|October 26, 2006
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Anti-Müllerian Hormone: A Predictor of Successful Intrauterine Insemination.

Cureus·2023
Same author

Access challenge in patient with ruptured infrarenal abdominal aneurysm treated with modified contralateral iliac limb technique.

Journal of vascular surgery cases and innovative techniques·2023
Same author

Risk of Peri-implant Fracture With Long Versus Short Cephalomedullary Nailing for Geriatric Patients With Intertrochanteric Femur Fracture.

Orthopedics·2022
Same author

The acute impact of baseline renal function and contrast medium volume/estimated glomerular filtration rate ratio on reduced renal function following endovascular abdominal aortic aneurysm repair.

Vascular·2021
Same author

Vascular virtual interviews for the 2020-2021 National Residency Matching Program during the COVID-19 pandemic early experience and lessons learned.

Journal of vascular surgery·2021
Same author

An Evaluation of the Use of Aggressive Fluid Resuscitation in the Early Treatment of Sepsis Patients.

Cureus·2021

Identifying patients at high risk for intra-abdominal complications (IAC) after heart surgery is crucial. Prolonged bypass times, low ejection fraction, steroid use, and vascular disease predict IAC, while anticoagulants may reduce risk.

Area of Science:

  • Cardiology
  • Surgical Outcomes
  • Gastroenterology

Background:

  • Intra-abdominal complications (IAC) affect up to 3% of heart surgery patients, increasing morbidity, mortality, and costs.
  • Identifying high-risk patients for IAC is essential for proactive management and improved outcomes.

Purpose of the Study:

  • To identify predictors of intra-abdominal complications (IAC) following cardiac surgery.
  • To determine risk factors associated with adverse outcomes in patients who develop IAC.

Main Methods:

  • Retrospective review of 7,731 cardiac surgery patients.
  • Identification of 120 patients with postoperative IAC, compared with 106 matched controls.

Main Results:

  • Predictors for IAC included prolonged cardiopulmonary bypass (>99 min), peripheral vascular disease, chronic steroid use, and low left ventricular ejection fraction.

Related Experiment Videos

  • Postoperative antiplatelet therapy or warfarin use was associated with a reduced risk of IAC.
  • Predictors of mortality in IAC patients were increased cardiopulmonary bypass time (>=120 min), inotrope use, cerebrovascular disease, and advanced age.

    • Conclusions:

    • A subset of cardiac surgery patients at higher risk for IAC and adverse outcomes can be identified.
    • Patients with prolonged bypass, low ejection fraction, steroid use, or vascular disease require vigilant monitoring for IAC.
    • Early diagnosis and intervention, potentially aided by postoperative anticoagulation, are key to improving IAC outcomes.