title: Therapeutic hypothermia following emergent coronary artery bypass grafting after failed percutaneous coronary intervention in a comatose post-cardiac arrest patient.
abstract: We report the case of 60-yr-old female in which therapeutic hypothermia (TH) was successfully induced maintaining the target temperature of 34℃ 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.
authors: Department of Emergency Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.
authors: Seung Pill
authors: SP
authors: Choi
authors: Jung Hee
authors: JH
authors: Wee
authors: Jeong Ho
authors: JH
authors: Park
authors: Kyu Nam
authors: KN
authors: Park
authors: Sung Jin
authors: SJ
authors: Hong
authors: Sun Hee
authors: SH
authors: Lee
mesh_terms: D001831:Body Temperature; D003128:Coma / Q000150:complications; D001026:Coronary Artery Bypass; D004562:Electrocardiography; D005260:Female; D006323:Heart Arrest / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D007036:Hypothermia, Induced; D007362:Intensive Care Units; D008875:Middle Aged; D062645:Percutaneous Coronary Intervention; D016896:Treatment Outcome
keywords: Cardiac Arrest; Coronary Artery Bypass Grafting; Hypothermia
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