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Ann Thorac Surg 1998;66:557-558
© 1998 The Society of Thoracic Surgeons

Case Reports

Intraabdominal hemorrhage during combined coronary artery bypass and carotid endarterectomy

Seiichi Noda, MDa, Michael J. Buckmaster, MDb, Charles W. Hogue, Jr, MDc, Brian G. Rubin, MDb, Thoralf M. Sundt, III, MDa

a Division of Cardiothoracic Surgery, Washington University School of Medicine, St. Louis, Missouri, USA
b Division of Vascular Surgery, Department of Surgery, Washington University School of Medicine, St. Louis, Missouri, USA
c Department of Anesthesiology, Washington University School of Medicine, St. Louis, Missouri, USA

Accepted for publication February 26, 1998.

Address reprint requests to Dr Sundt, Division of Cardiothoracic Surgery, Washington University School of Medicine, One Barnes Hospital Plaza, Suite 3108 Queeny Tower, St. Louis, MO 63110

Intraabdominal complications during cardiopulmonary bypass are extremely rare, with an incidence of less than 1% in multiple retrospective studies. These complications are associated with a high mortality, and their rapid diagnosis is critical to the outcome of the patient. We present a case of spontaneous intraabdominal hemorrhage after combined carotid endarterectomy and four-vessel coronary artery bypass grafting, which was diagnosed through a diaphragmatic window.




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