ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Free bowel perforation after off-pump coronary artery bypass graft surgery: a rare complication of Crohn's disease
Kaan Kaya1, Doğan Kahraman1, Anar Emrah1, Levent Enver1, Ümit Özyurda2
1Department of Cardiovascular Surgery, Kavaklıdere Umut Hospital, Ankara, Turkey
2Department of Cardiovascular Surgery, Medical Faculty of Ankara University, Ankara, Turkey
DOI : 10.5606/tgkdc.dergisi.2013.6741
Although the incidence of gastrointestinal complications during cardiac surgery is low, delayed recognition of these complications may result in prolonged hospitalization with a high mortality rate. The diagnosis is usually difficult, as the patient may not describe symptoms due to sedation and analgesia early after surgery. A 56-yearold male patient who was diagnosed with acute coronary syndrome underwent an urgent off-pump coronary artery bypass graft (CABG) surgery. The patient with a normal early postoperative period had a severe abdominal pain followed by hemodynamic corruption. He underwent a diagnostic laparotomy with a preliminary diagnosis of acute mesenteric ischemia. Surgical examination revealed Crohn’s disease with bowel perforation. The diagnosis was confirmed by serologic tests (positive result for Anti- Saccharomyces Cerevisiae Antibody and negative result for anti-neutrophil cytoplasmic antibody) and pathologic examination. The bowel perforation is a rare complication of Crohn’s disease. This is the first reported case in the literature associated with coronary artery disease.
Keywords : Bowel perforation; Crohn’s disease; off-pump coronary artery bypass graft surgery
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