Document Detail


Impact of a large hemodialysis arteriovenous fistula: on myocardial protection during cardiopulmonary bypass.
MedLine Citation:
PMID:  22412246     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Levent Cetin; Erol Sener; Aysegul Kunt; Mete Hidiroglu; Aslihan Kucuker
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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    
Affiliation:
Cardiovascular Surgery Clinic, Ataturk Education & Research Hospital, 06533 Ankara, Turkey.
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MeSH Terms
Descriptor/Qualifier:
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
Hemodynamics
Humans
Kidney Failure, Chronic / complications,  physiopathology,  therapy*
Male
Middle Aged
Renal Dialysis*
Treatment Outcome
Comments/Corrections

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


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