Intravenous adenosine for surgical management of penetrating heart wounds.
Accurate suturing of penetrating cardiac injuries is difficult. Heart motion, ongoing blood loss, arrhythmias due to heart manipulation, and the near-death condition of the patient can all affect the outcome. Rapid intravenous injection of adenosine induces temporary asystole that enables placement of sutures in a motionless surgical field. Use of this technique improves surgical conditions, and it is faster than other methods. Herein, we describe our experience with the use of intravenous adenosine to successfully treat 3 patients who had penetrating heart wounds.
Kokotsakis
John
J
Department of Cardiac Surgery, Evangelismos General Hospital, 10676 Athens, Greece.
Hountis
Panagiotis
P
Antonopoulos
Nikolaos
N
Skouteli
Elian
E
Athanasiou
Thanos
T
Lioulias
Achilleas
A
D000241:Adenosine / Q000008:administration & dosage*; D000328:Adult; D000889:Anti-Arrhythmia Agents / Q000008:administration & dosage*; D006324:Heart Arrest, Induced / Q000379:methods*; D006335:Heart Injuries / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007275:Injections, Intravenous; D008297:Male; D008875:Middle Aged; D013536:Suture Techniques; D014950:Wounds, Penetrating / Q000150:complications / Q000601:surgery*
D000889:Anti-Arrhythmia Agents; D000241:Adenosine