Document Detail


Systemic hyperkalemia for cardiac arrest on CPB with or without cross-clamping.
MedLine Citation:
PMID:  19016984     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Myocardial protection may be compromised in situations with a patent left internal mammary artery (LIMA) graft or an unclamped aorta. Because of collateral coronary blood flow, electrical arrest may not be achieved. Currently, hypothermia is often used to augment myocardial protection and provide cardiac arrest in these situations. We report a simple, novel technique of systemic hyperkalemia during cardiopulmonary bypass to achieve rapid and complete electromechanical arrest. By providing complete diastolic arrest, uniform myocardial protection is ensured.
Authors:
Tharumenthiran Ramanathan; Prem Shekar; Daniel Fitzgerald; Ravi K Ghanta; Sary F Aranki; Lawrence H Cohn; Edward P Chen; Frederick Y Chen
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of cardiac surgery     Volume:  23     ISSN:  1540-8191     ISO Abbreviation:  J Card Surg     Publication Date:    2008 Nov-Dec
Date Detail:
Created Date:  2008-11-21     Completed Date:  2009-04-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8908809     Medline TA:  J Card Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  611-3     Citation Subset:  IM    
Affiliation:
Division of Cardiac Surgery, Brigham and Women's Hospital, Boston, Massachusetts 02215, USA.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aortic Valve Stenosis / surgery*
Cardiopulmonary Bypass / methods*
Diastole
Female
Heart Arrest, Induced / methods*
Humans
Hyperkalemia*
Male
Middle Aged
Surgical Instruments

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


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