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The heart surgery forum · Jan 2006
Case ReportsProfound hypothermic cardiac arrest treated successfully using minimally invasive cardiopulmonary bypass: a case report.
- Robert Janas, Rajwinder Singh Jutley, Sean Clinton, and Pradip K Sarkar.
- Department of Cardiac Surgery, Northern General Hospital, Sheffield, UK.
- Heart Surg Forum. 2006 Jan 1;9(2):E601-3.
BackgroundHypothermia is defined as a core temperature of less than 35 degrees C. The decision to resuscitate a hypothermic patient can be difficult, as consideration must be given to whether the patient died before the cooling process. The modality for rewarming must also be considered.Case ReportA severely hypothermic 54-year-old man with a core temperature of 21 degrees C was successfully rewarmed using cardiopulmonary bypass via the femoro-femoral route. The patient made a full neurological recovery.ConclusionCardiopulmonary bypass provides excellent circulatory support for profound hypothermia and allows rapid core rewarming. The femoro-femoral approach is the preferred method for this scenario.
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