Abdominal compartment syndrome is a rare but severe complication during off-pump CABG that can be successfully managed with prompt recognition, gastric decompression, and intravenous mannitol.
Single case suggests conservative ACS management in off-pump CABG; leaves open optimal protocols and incidence.
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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Lee et al. (2016) studied this question.
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