Document Detail

Impact of a large hemodialysis arteriovenous fistula: on myocardial protection during cardiopulmonary bypass.
MedLine Citation:
PMID:  22412246     Owner:  NLM     Status:  MEDLINE    
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.
Levent Cetin; Erol Sener; Aysegul Kunt; Mete Hidiroglu; Aslihan Kucuker
Related Documents :
20587506 - Cardiac electrophysiological effects of nitric oxide.
21883316 - Impact of scar, viable myocardium, and epicardial fat on substrate identification of ve...
18828746 - Sex-based cardiac physiology.
22212436 - The missing left atrial appendage.
1563126 - Efficacy and safety of calcium channel blockers in hypertensive patients with concomita...
11153826 - Transient qt interval prolongation with inverted t waves indicates myocardial salvage o...
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
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:
Created Date:  2012-03-13     Completed Date:  2012-11-12     Revised Date:  2013-06-26    
Medline Journal Info:
Nlm Unique ID:  8214622     Medline TA:  Tex Heart Inst J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  122-4     Citation Subset:  IM    
Cardiovascular Surgery Clinic, Ataturk Education & Research Hospital, 06533 Ankara, Turkey.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Arteriovenous Shunt, Surgical* / adverse effects
Cardiopulmonary Bypass* / adverse effects
Coronary Artery Bypass* / adverse effects
Coronary Artery Disease / complications,  physiopathology,  surgery*
Coronary Circulation
Heart Arrest, Induced
Kidney Failure, Chronic / complications,  physiopathology,  therapy*
Middle Aged
Renal Dialysis*
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Two-dimensional speckle strain imaging: in the management of paraganglioma, acute junctional tachyca...
Next Document:  Left anterior descending coronary artery stenosis: in a patient with takotsubo cardiomyopathy.