Therapeutic hypothermia following emergent coronary artery bypass grafting after failed percutaneous coronary intervention in a comatose post-cardiac arrest patient.

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. PMID: 23960458 [PubMed - in process]

http://www.ncbi.nlm.nih.gov/pubmed/23960458?dopt=Abstract

Source: J Korean Med Sci - August 1, 2013 Category: Journals (General) Authors: Choi SP, Wee JH, Park JH, Park KN, Hong SJ, Lee SH Tags: J Korean Med Sci Source Type: research