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Ventricular Fibrillation With Diminished Internal Mammary Artery Graft Flow During Sternal Retraction
Journal article   Peer reviewed

Ventricular Fibrillation With Diminished Internal Mammary Artery Graft Flow During Sternal Retraction

Michael Green, Jay Parekh, Amardeep Heyer and Andrew S. Wechsler
The Annals of thoracic surgery, v 90(5), pp 1698-1699
01 Nov 2010
PMID: 20971297

Abstract

Cardiac & Cardiovascular Systems Cardiovascular System & Cardiology Life Sciences & Biomedicine Respiratory System Science & Technology Surgery
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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Web of Science research areas
Cardiac & Cardiovascular Systems
Respiratory System
Surgery
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