Acute cholecystitis after minimally invasive coronary artery bypass grafting: a report 2 cases

Area of Science:

• Cardiology
• Gastroenterology
• Surgical Complications

Background:

• Coronary artery bypass grafting (CABG) can lead to acute cholecystitis, a serious complication.
• Prolonged cardiopulmonary bypass (CPB) is a known risk factor for post-CABG gastrointestinal issues.
• Minimally invasive direct coronary artery bypass (MIDCAB) is a less invasive CABG technique, often performed without CPB.

Observation:

• Two cases of acute cholecystitis following MIDCAB procedures are presented.
• These cases demonstrate that even less invasive CABG techniques do not eliminate the risk of gastrointestinal complications.
• Acute cholecystitis occurred despite the absence of sternotomy and CPB in these MIDCAB patients.

Findings:

• Acute cholecystitis is a potential, albeit rare, complication following MIDCAB.
• The risk of gastrointestinal complications, including acute cholecystitis, persists after MIDCAB.
• Early and aggressive treatment strategies are beneficial for managing acute cholecystitis post-MIDCAB.

Implications:

• Healthcare providers should remain vigilant for gastrointestinal complications like acute cholecystitis in patients undergoing MIDCAB.
• The findings underscore the importance of considering non-CPB related factors in post-operative care after minimally invasive cardiac surgery.
• Prompt diagnosis and aggressive management are key to improving outcomes for acute cholecystitis following MIDCAB procedures.