Therapeutic Hypothermia Following Emergent Coronary Artery Bypass Grafting After Failed Percutaneous Coronary Intervention in a Comatose Post-Cardiac Arrest Patient.
10.3346/jkms.2013.28.8.1257
- Author:
Seung Pill CHOI
1
;
Jung Hee WEE
;
Jeong Ho PARK
;
Kyu Nam PARK
;
Sung Jin HONG
;
Sun Hee LEE
Author Information
1. Department of Emergency Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.
- Publication Type:Case Reports
- Keywords:
Hypothermia;
Cardiac Arrest;
Coronary Artery Bypass Grafting
- MeSH:
Body Temperature;
Coma/complications;
*Coronary Artery Bypass;
Electrocardiography;
Female;
Heart Arrest/complications/*diagnosis/therapy;
Humans;
*Hypothermia, Induced;
Intensive Care Units;
Middle Aged;
Percutaneous Coronary Intervention;
Treatment Outcome
- From:Journal of Korean Medical Science
2013;28(8):1257-1259
- CountryRepublic of Korea
- Language:English
-
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.
