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Iatrogenic hemorrhage from left umbilical vein after cardiac surgery: An unusual complication


1 Department of Cardiac Anesthesiology and Critical Care, Aditya Care Hospital, Bhubaneswar, Orissa, India
2 Department of Cardiovasular and Thoracic Surgery, Aditya Care Hospital, Bhubaneswar, Orissa, India

Correspondence Address:
Vivek Chowdhry
Department of Cardiac Anesthesiology and Critical Care, Aditya Care Hospital, Bhubaneswar 751 014, Orissa
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9784.95079

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Year : 2012  |  Volume : 15  |  Issue : 2  |  Page : 141-143

 

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Postoperative bleeding is a concern for all patients undergoing heart surgery, which could be due to surgical causes or coagulation disorder. The patients at risk for coagulopathy include those patients with complex or prolonged procedures, those exposed to preoperative anticoagulants and, to a lesser extent, patients with a preoperatively elevated prothrombin time and activated clotting time. However, intraabdominal bleeding after cardiac surgery is rare (0.3-2%). As the mortality rate of patients exposed to these complications is high (11-59%), timely recognition and prompt management is vital for patient's safety and for avoidance of postoperative complications. Here, we present a case of free intraabdominal hemorrhage as sequelae of pacing wire insertion in open heart surgery and its successful management.






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1 Department of Cardiac Anesthesiology and Critical Care, Aditya Care Hospital, Bhubaneswar, Orissa, India
2 Department of Cardiovasular and Thoracic Surgery, Aditya Care Hospital, Bhubaneswar, Orissa, India

Correspondence Address:
Vivek Chowdhry
Department of Cardiac Anesthesiology and Critical Care, Aditya Care Hospital, Bhubaneswar 751 014, Orissa
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9784.95079

Rights and Permissions

Postoperative bleeding is a concern for all patients undergoing heart surgery, which could be due to surgical causes or coagulation disorder. The patients at risk for coagulopathy include those patients with complex or prolonged procedures, those exposed to preoperative anticoagulants and, to a lesser extent, patients with a preoperatively elevated prothrombin time and activated clotting time. However, intraabdominal bleeding after cardiac surgery is rare (0.3-2%). As the mortality rate of patients exposed to these complications is high (11-59%), timely recognition and prompt management is vital for patient's safety and for avoidance of postoperative complications. Here, we present a case of free intraabdominal hemorrhage as sequelae of pacing wire insertion in open heart surgery and its successful management.






[FULL TEXT] [PDF]*


        
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