Catatonic stupor after off-pump coronary artery bypass graft
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Neurocognitive dysfunctions are common after cardiac surgeries and are associated with significant postoperative complications. Association of catatonia following cardiac surgery has never been described earlier. We report a rare case of postoperative catatonic stupor following off-pump coronary artery bypass grafting, highlighting some of its key features and management options. A 75-year-old male, with no history of any medical or neuropsychiatric disease, was admitted with acute coronary syndrome. He was investigated and found to have non-ST-elevation myocardial infarction, with normal left ventricular ejection fraction of 60% and mild mitral regurgitation. The patient was stabilized with antianginal medications. Elective coronary angiogram revealed 60% left main coronary artery stenosis with significant triple vessels disease. Off-pump coronary artery bypass grafting was performed with anastomosis of the left internal mammary artery to left anterior descending artery, saphenous vein grafts to posterior descending artery, obtuse marginal and diagonal artery. The surgery was uneventful and the patient was transferred to the Intensive Care Unit (ICU) in stable condition with minimal dose of inotropic supports...

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