Journal article
Ventricular Fibrillation With Diminished Internal Mammary Artery Graft Flow During Sternal Retraction
The Annals of thoracic surgery, v 90(5), pp 1698-1699
01 Nov 2010
PMID: 20971297
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
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. (Ann Thorac Surg 2010;90:1698-9) (C) 2010 by The Society of Thoracic Surgeons
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Details
- Title
- Ventricular Fibrillation With Diminished Internal Mammary Artery Graft Flow During Sternal Retraction
- Creators
- Michael Green - Hahnemann University HospitalJay Parekh - Hahnemann University HospitalAmardeep Heyer - Hahnemann University HospitalAndrew S. Wechsler - Hahnemann University Hospital
- Publication Details
- The Annals of thoracic surgery, v 90(5), pp 1698-1699
- Publisher
- Elsevier
- Number of pages
- 2
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Anesthesiology and Perioperative Medicine; [Retired Faculty]
- Web of Science ID
- WOS:000283352200066
- Scopus ID
- 2-s2.0-78049318961
- Other Identifier
- 991019168458104721
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InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Web of Science research areas
- Cardiac & Cardiovascular Systems
- Respiratory System
- Surgery