Therapeutic Hypothermia Following Emergent Coronary Artery Bypass Grafting After Failed Percutaneous Coronary Intervention in a Comatose Post-Cardiac Arrest Patient
Journal of Korean Medical Science
;
: 1257-1259, 2013.
Article
in English
| WPRIM
| ID: wpr-173125
ABSTRACT
We report the case of 60-yr-old female in which therapeutic hypothermia (TH) was successfully induced maintaining the target temperature of 34degrees C for 12 hr despite a risk of hypothermia-induced coagulation abnormalities following an emergent coronary artery bypass grafting (CABG) due to failed percutaneous coronary intervention, who suffered a cardiac arrest. Emergent CABG may be a relative contraindication for TH in post-cardiac arrest patients because hypothermia may increase the risk of infection and bleeding. However, the possibility of an improved neurologic outcome outweighs the risk of bleeding, although major surgery may be a relative contraindication for TH.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Body Temperature
/
Coronary Artery Bypass
/
Treatment Outcome
/
Coma
/
Electrocardiography
/
Percutaneous Coronary Intervention
/
Heart Arrest
/
Hypothermia, Induced
/
Intensive Care Units
Limits:
Female
/
Humans
Language:
English
Journal:
Journal of Korean Medical Science
Year:
2013
Type:
Article
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