Acute Cholecystitis after Minimally Invasive Coronary Artery Bypass Grafting: A Report 2 Cases

Authors

  • Joseph Juey-Ming Shih
  • James Yao-Ming Shih
  • Min-Yen Shi
  • Thay-Hsiung Chen

DOI:

https://doi.org/10.1532/HSF98.20061036

Abstract

Acute cholecystitis following coronary artery bypass grafting (CABG), although rare, is a potentially life-threatening consequence of prolonged cardiopulmonary bypass (CPB) procedures. Minimally invasive direct coronary artery bypass (MIDCAB), performed without sternotomy and without CPB, is perhaps the least traumatic type of CABG procedure. Nevertheless, we present 2 cases of acute cholecystitis following MIDCAB, demonstrating that a MIDCAB does not eliminate the risk of gastrointestinal complications. Our experience with these cases points to the benefits of early and aggressive management in the treatment of acute cholecystitis after MIDCAB.

References

Ahrendt SA, Pitt HA. 2004. Biliary Tract. In: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 17th ed. Philadelphia, Pennsylvania: Elsevier Saunders, 1609-12.nKouchoukos NT, Blackstone EH, Doty DB, et al. 2003. Postoperative care. In: Kirklin/Barratt-Boyes Cardiac Surgery. 3rd ed. Philadelphia, Pennsylvania: Elsevier Science 224-5.nMcSweeney ME, Garwood S, Levin J, et al. 2004. Adverse gastrointestinal complications after cardiopulmonary bypass: can outcome be predicted from preoperative risk factors? Anesth Analg 98: 1610-7.nMusleh GS, Patel NC, Grayson AD, et al. 2003. Off-pump coronary artery bypass does not reduce gastrointestinal complications. Eur J Car-diothorac Surg 23: 170-4.nRady MY, Kodavatiganti R, Ryan T. 1998. Perioperative predictors of acute cholecystitis after cardiovascular surgery. Chest 114: 76-84.n

Published

2006-07-28

How to Cite

Shih, J. J.-M., Shih, J. Y.-M., Shi, M.-Y., & Chen, T.-H. (2006). Acute Cholecystitis after Minimally Invasive Coronary Artery Bypass Grafting: A Report 2 Cases. The Heart Surgery Forum, 9(5), E800-E802. https://doi.org/10.1532/HSF98.20061036

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