Abstract
Veno-arterial bypass after coronary artery bypass grafting was successfully performed for 25 hours in a 67-year-old female with inveterate cardiac infarction and angina pectoris. The patient has lesions of RCA#1 100%, LAD#790%, #9-175%, and LCX#14 100%. On 49th postoperative day the patient died of sepsis and multiple organ failure. Acute pancreatitis was established as the cause of death by postmortem examination.
Though it been said that acute pancreatitis hardly occurs after thoracotomy, this experience indicates the importance of pneuventing pancreatic ischemia in extracorporeal circulation as a probable cause for postoperative pancreatitis.