XXXX after cardiac surgery.

@entity1 @entity788 @entity4391 @entity1066 @entity344 @entity1578 @entity7140 @entity4436 @entity360
@entity344 after cardiac surgical procedures are infrequent but severe. Thirty-three @entity344 were identified in 25 @entity1 who underwent cardiac surgery during a 7-year period (2.0% incidence). The mortality rate for @entity1 having these @entity344 was 44%. Acute @entity7140 was the most lethal complication (86%). Acute @entity788 was the most common complication (eight @entity1 ). Most @entity1 responded well to conservative measures. Five @entity1 had @entity360 and three had @entity360 that required more than 2 U of packed red blood cells. All @entity1 conditions were diagnosed endoscopically and none necessitated operation. Of the remaining @entity1 , one was operated on because of perforated duodenal @entity1066 , one because of @entity4436 , and one because of @entity4391 , and one @entity1 underwent diagnostic laparotomy and showed negative results for presumed @entity7140 . @entity1578 was fatal in all three @entity1 in whom it occurred. @entity344 correlated significantly with advanced age, prolonged bypass times, valve surgery, and the female sex. We conclude that septic @entity344 --particularly acute @entity7140 and perforated viscus--after cardiac surgery are uncommon but lethal. Clinical features are often subtle, and a high index of suspicion is necessary for an early diagnosis and the institution of appropriate treatment.
