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Interact Cardiovasc Thorac Surg · Apr 2019
Ketoacidosis related to sodium glucose cotransporter 2 inhibitors after emergency coronary surgery.
- Rihito Horikoshi, Tadashi Kitamura, and Kagami Miyaji.
- Department of Cardiovascular Surgery, Kitasato University School of Medicine, Sagamihara, Japan.
- Interact Cardiovasc Thorac Surg. 2019 Apr 9.
AbstractSodium glucose cotransporter 2 inhibitors are currently widely used antihyperglycaemic medications that are considered to be associated with euglycaemic diabetic ketoacidosis. We report 2 cases of patients who received sodium glucose cotransporter 2 inhibitors until emergency coronary artery bypass grafting (CABG) and developed euglycaemic ketoacidosis after surgery; they were treated with sugar replenishment and insulin infusion. In one case, coronary angiography revealed a spastic change of the bypass graft possibly due to severe acidosis. A rapid diagnosis and proper intervention are crucial to achieve better outcomes with CABG.© The Author(s) 2019. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.
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