| Impact of a Large Hemodialysis Arteriovenous Fistula: on Myocardial Protection during Cardiopulmonary Bypass. | |
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MedLine Citation:
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PMID: 22412246 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Arteriovenous fistulae have a substantial impact on systemic hemodynamics, but their effect on cardiopulmonary bypass is not well understood. The left-to-right shunting of blood through an arteriovenous fistula can create flow problems during cardiopulmonary bypass. We present the case of a 59-year-old man with end-stage renal disease who underwent coronary artery bypass grafting. During surgery, a large brachiocephalic arteriovenous fistula provided excessive venous return to the heart, compromising the myocardial protection offered by cardiopulmonary bypass. We modified the venous cannulation from a 2-stage single cannula to a bicaval cannula and were then able to achieve cardioplegic arrest and myocardial protection with no further problems. |
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Authors:
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Levent Cetin; Erol Sener; Aysegul Kunt; Mete Hidiroglu; Aslihan Kucuker |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Texas Heart Institute journal / from the Texas Heart Institute of St. Luke's Episcopal Hospital, Texas Children's Hospital Volume: 39 ISSN: 1526-6702 ISO Abbreviation: Tex Heart Inst J Publication Date: 2012 |
Date Detail:
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Created Date: 2012-03-13 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8214622 Medline TA: Tex Heart Inst J Country: United States |
Other Details:
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Languages: eng Pagination: 122-4 Citation Subset: IM |
Affiliation:
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From: Cardiovascular Surgery Clinic, Ataturk Education & Research Hospital, 06533 Ankara, Turkey. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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