• Ann. Thorac. Surg. · Aug 2015

    Case Reports

    Deep Hypothermic Circulatory Arrest in a Patient With Cold-Induced Urticaria.

    • Michael G Fitzsimons, Gus Vlahakes, Robert Makar, Joshua Dilley, Cameron Wright, Elizabeth M Van Cott, and Mandakolathur Murali.
    • Department of Anesthesia, Critical Care, and Pain Medicine, Division of Cardiac Anesthesia, Massachusetts General Hospital, Boston, Massachusetts.
    • Ann. Thorac. Surg. 2015 Aug 1; 100 (2): 722-3.

    AbstractAcquired cold urticaria is a condition characterized by the onset of pruritic hives, swelling, and occasional severe systemic reactions, during the rewarming phase, after cold exposure. Pulmonary thromboendarterectomy (PTE) is a cardiac surgical procedure where organized thrombus is excised from the pulmonary vasculature in order to improve pulmonary blood flow and relieve pressure on the right ventricle. A PTE requires institution of deep hypothermic circulatory arrest (DHCA) in order to reduce blood flow from collateral vessels during thrombus excision. We describe a case of PTE performed under DHCA in a patient with ACU. Copyright © 2015 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

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