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Ann Thorac Surg 2000;69:1937-1938
© 2000 The Society of Thoracic Surgeons

Case reports

Pneumoperitoneum secondary to endoscopic harvest of saphenous vein graft

Andreas Lehmann, MDa, Johannes Langa, Udo Weisseb, Joachim Boldt, MDa

a Departments of Anesthesiology and Intensive Care Medicine, Klinikum der Stadt Ludwigshafen, Ludwigshafen, Germany
b Department of Cardiac Surgery, Klinikum der Stadt Ludwigshafen, Ludwigshafen, Germany

Address reprint requests to Dr Boldt, Department of Anesthesiology and Intensive Care Medicine, Klinikum der Stadt Ludwigshafen, Bremserstr 79, D-67063 Ludwigshafen, Germany

Endoscopic harvest of saphenous vein graft for coronary artery bypass grafting decreases leg wound complications compared with traditional longitudinal incision. A case of pneumoperitoneum secondary to endoscopic harvest of saphenous vein using insufflation of carbon dioxide is reported. Hypercarbia, increased peak airway pressure, but no significant changes of hemodynamics, or myocardial ischemia were noted. The management of this rare complication is described.


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Invited commentary
Friedhelm Beyersdorf
Ann. Thorac. Surg. 2000 69: 1938. [Extract] [Full Text] [PDF]





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