Abdominal Compartment Syndrome during Off-pump Coronary Artery Bypass: a Case Report

초록

We report a case of intraoperative hemodynamic instability due to abdominal compartment syndrome in a 65-year-old woman who underwent elective off-pump coronary artery bypass graft. She had manifestation of destabilized hemodynamic and respiration, and detected an extremely tense and distended abdomen when the sternum was closed. After excluding hemorrhage and right heart failure, the patient was considered to have ACS. Then a nasogastric tube was inserted to decompress the stomach and 100 ml of 20% mannitol was administered intravenously. With the above treatment, the patient was gradually relieved, and discharged 12 days later.

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