| Ventricular fibrillation with diminished internal mammary artery graft flow during sternal retraction. | |
| | |
MedLine Citation:
|
PMID: 20971297 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Ventricular fibrillation is a common arrhythmia encountered after the termination of cardiopulmonary bypass. Risk is augmented in patients who are undergoing repeat cardiac procedures with most documented complications occurring during repeat sternotomy. Aortic valve surgery is more complex after coronary artery bypass grafting using internal mammary arteries, and it compounds the increased risk of repeat sternotomy. This case report describes a low-flow state artificially created by sternal retraction applying tension on a right internal mammary artery to posterior descending artery anastomosis, with resultant unrecognized myocardial ischemia yielding refractory ventricular fibrillation during aortic valve replacement. |
| | |
Authors:
|
Michael Green; Jay Parekh; Amardeep Heyer; Andrew S Wechsler |
Related Documents
:
|
3263097 - Coronary artery bypass grafting in patients with a tracheostoma: use of a bilateral tho... 8561537 - Morphometric analysis of the right gastroepiploic artery and the internal mammary artery. 16542027 - The internal thoracic artery skeletonization study: a paired, within-patient comparison... 1122167 - Free internal mammary artery graft. an improved surgical technique. 16796077 - Arterial baroreflex sensitivity is a good predictor of inotropic responses to a phospho... 7790747 - Surgical treatment of extracranial carotid aneurysms. |
Publication Detail:
|
Type: Case Reports; Journal Article |
Journal Detail:
|
Title: The Annals of thoracic surgery Volume: 90 ISSN: 1552-6259 ISO Abbreviation: Ann. Thorac. Surg. Publication Date: 2010 Nov |
Date Detail:
|
Created Date: 2010-10-25 Completed Date: 2010-11-10 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 15030100R Medline TA: Ann Thorac Surg Country: Netherlands |
Other Details:
|
Languages: eng Pagination: 1698-9 Citation Subset: AIM; IM |
Copyright Information:
|
Copyright © 2010 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved. |
Affiliation:
|
Drexel University College of Medicine, Hahnemann University Hospital, Philadelphia, Pennsylvania, USA. michael.green@drexelmed.edu |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Aged Aortic Valve / surgery* Heart Valve Prosthesis Implantation / adverse effects* Humans Internal Mammary-Coronary Artery Anastomosis / adverse effects* Male Reoperation Sternotomy / adverse effects* Ventricular Fibrillation / etiology* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Transatrial transcatheter tricuspid valve-in-valve implantation of balloon expandable bioprosthesis.
Next Document: A novel application of cerebral oximetry in cardiac surgery.