Evidence map›Paper›PMID 42326171›Full record

ArticleCureus2026

Cardiopulmonary Bypass Circuit Tubing Rupture During Unplanned Conversion From Off-Pump Coronary Artery Bypass Graft Procedure: A Case Report.

Abdul R Ansari, Forrest Cote, Christopher Hadaway

Abstract readCase Reports
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Abdul R AnsariDepartment of Anesthesiology, McLaren Greater Lansing, Lansing, USA.
Forrest CoteDepartment of Anesthesiology, McLaren Greater Lansing, Lansing, USA.
Christopher HadawayCollege of Osteopathic Medicine, Michigan State University, East Lansing, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cardiopulmonary bypass (CPB) is an essential component of many cardiac surgical procedures, but carries inherent risks related to its reliance on extracorporeal circulation and mechanical circuitry. Mechanical complications, though uncommon, can be rapidly life-threatening if not promptly recognized and managed. We report the case of a 68-year-old man with multivessel coronary artery disease (CAD) undergoing off-pump coronary artery bypass grafting (OPCABG) who required intraoperative conversion to CPB due to technical challenges. During the procedure, an acute rupture of the CPB circuit tubing resulted in rapid blood loss and hemodynamic instability. Immediate recognition by the anesthesia and perfusion teams allowed for prompt intervention, including circuit clamping, aggressive volume resuscitation, vasopressor support, calcium administration, and utilization of perioperative autologous cell salvage (PACS). The circuit disruption was controlled, and the patient was successfully stabilized and weaned from CPB with stable postoperative hemodynamics. This case highlights the importance of vigilance, early detection of circuit abnormalities, and coordinated multidisciplinary response in managing rare but critical CPB-related complications.

Indexed as

cardiac anesthesiacardiac surgery complicationscardiopulmonary bypasscoronary artery bypass grafting(cabg)cpb circuit ruptureintraoperative hemodynamic instabilitymassive hemorrhagemechanical complicationsmultidisciplinary teamworkoff-pump coronary artery bypass grafting (opcabg)

Identifiers

PMID42326171
PMCPMC13282148

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.