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KMID : 0191120130280081257
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Journal of Korean Medical Science
2013 Volume.28 No. 8 p.1257 ~ p.1259
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Therapeutic Hypothermia Following Emergent Coronary Artery Bypass Grafting After Failed Percutaneous Coronary Intervention in a Comatose Post-Cardiac Arrest Patient
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Choi Seung-Pill
Wee Jung-Hee
Park Jeong-Ho
Park Kyu-Nam
Hong Sung-Jin
Lee Sun-Hee
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Abstract
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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.
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KEYWORD
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Hypothermia, Cardiac Arrest, Coronary Artery Bypass Grafting
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