Successful CPR in a Patient with Left Main Coronary Stenosis and Severe Aortoilliac Disease Following Intubation

Nadine Kawkabani; Rula Darwish; Bassem Ayyache; Bassam Abu Khalil

doi:doi:10.11648/j.ijcts.20160204.15

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Successful CPR in a Patient with Left Main Coronary Stenosis and Severe Aortoilliac Disease Following Intubation

Nadine Kawkabani, Rula Darwish, Bassem Ayyache, Bassam Abu Khalil

Published in International Journal of Cardiovascular and Thoracic Surgery (Volume 2, Issue 4)

Received: 27 November 2016 Accepted: 9 December 2016 Published: 5 January 2017

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Abstract

The incidence of pre-bypass ischemia in patients undergoing coronary artery bypass grafting ranges between 10% to 50% [1]. We report in this paper a successful cardiopulmonary resuscitation (CPR) for a 75-year- old male patient with left main coronary disease who developed an asystolic cardiac arrest during induction, immediately after laryngoscopy and intubation. The arrest was managed by an immediate CPR and a prompt initiation of cardiopulmonary bypass. The patient had a very smooth and uneventful post operative course and was discharged from our institution 5 days after surgery without any organ damage. We discuss in this case report the factors that may have precipitated the arrest as well the elements -barbiturates, immediate CPR and tepid hypothermic bypass- that may have contributed to the excellent outcome.

Published in	International Journal of Cardiovascular and Thoracic Surgery (Volume 2, Issue 4)
DOI	10.11648/j.ijcts.20160204.15
Page(s)	34-36
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2017. Published by Science Publishing Group

Keywords

Left Main Coronary Disease, Laryngoscopy, Cardiac Arrest, CPR, Tepid Hypothermic Bypass

References

[1]	Kaplan J, Wynands J: Anesthesia for myocardial revascularization in Cardiac Anesthesia ed (4), WB Saunders company, 1999. pp 715.
[2]	Kern M: Your patient has critical left main stenosis. Do you need an intra aortic balloon pump. Cath lab digest 16 (1), 2008.
[3]	Sirian R, Wills J: Physiology of apnea and the benefits of preoxygenation. Continuing Education Anesthesia, Critical care and Pain 9 (4): 105-108, 2009.
[4]	Tan PSK: The anesthetic management of circulatory arrest. Br J Hosp Med 43: 38, 1990.
[5]	Thomas AN, Anderton JM, Harper NJN: Anesthesia for the treatment of a giant cerebral aneurysm under hypothermic circulatory arrest. Anesthesia 45: 383, 1990.
[6]	Quasha AL, Tinker JH, Sharbrough FW: Hypothermia plus Thiopental: Prolonged encephalographic suppression. Anesthesiology 55: 636, 1981.
[7]	Kamiya H, Kallenbach K, Halmer D et al: Surgey for aortic disease. Comparison of ascending aorta versus femoral artery cannulation for acute aortic dissection type A. Circulation 120: S282-S286, 2009.
[8]	Van Arsdall GS, David TE, Butany J: Autopsy in acute type aortic dissection. Surgical implication. Circulation 98 (suppl): II-299-II-304, 1998.
[9]	Holzer M: For the hypothermia after cardiac arrest study group. Mild therapeutic hypothermia to improve the neurologic outcome after cardiac arrest. NEng J Med 346: 549-556, 2002.
[10]	Mijuskovic D, Stamenkovic DM, Borovic S et al: Successful resuscitation from two cardiac arrests in a female patient with critical aortic stenosis, severe mitral regurgitation and coronary artery disease. Vojnosanit Pregl 69 (8): 714-716, 2012.
[11]	Fleisher A, Fleischmann KE, Auerbach AD et al: 2014 ACC/AHA guidelines on perioperative cardiovascular evaluation and management of patients undergoing non cardiac surgery. J Am Coll Cardiol 64 (22): 2373-2405, 2014.

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APA Style

Nadine Kawkabani, Rula Darwish, Bassem Ayyache, Bassam Abu Khalil. (2017). Successful CPR in a Patient with Left Main Coronary Stenosis and Severe Aortoilliac Disease Following Intubation. International Journal of Cardiovascular and Thoracic Surgery, 2(4), 34-36. https://doi.org/10.11648/j.ijcts.20160204.15

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ACS Style

Nadine Kawkabani; Rula Darwish; Bassem Ayyache; Bassam Abu Khalil. Successful CPR in a Patient with Left Main Coronary Stenosis and Severe Aortoilliac Disease Following Intubation. Int. J. Cardiovasc. Thorac. Surg. 2017, 2(4), 34-36. doi: 10.11648/j.ijcts.20160204.15

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AMA Style

Nadine Kawkabani, Rula Darwish, Bassem Ayyache, Bassam Abu Khalil. Successful CPR in a Patient with Left Main Coronary Stenosis and Severe Aortoilliac Disease Following Intubation. Int J Cardiovasc Thorac Surg. 2017;2(4):34-36. doi: 10.11648/j.ijcts.20160204.15

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@article{10.11648/j.ijcts.20160204.15,
  author = {Nadine Kawkabani and Rula Darwish and Bassem Ayyache and Bassam Abu Khalil},
  title = {Successful CPR in a Patient with Left Main Coronary Stenosis and Severe Aortoilliac Disease Following Intubation},
  journal = {International Journal of Cardiovascular and Thoracic Surgery},
  volume = {2},
  number = {4},
  pages = {34-36},
  doi = {10.11648/j.ijcts.20160204.15},
  url = {https://doi.org/10.11648/j.ijcts.20160204.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcts.20160204.15},
  abstract = {The incidence of pre-bypass ischemia in patients undergoing coronary artery bypass grafting ranges between 10% to 50% [1]. We report in this paper a successful cardiopulmonary resuscitation (CPR) for a 75-year- old male patient with left main coronary disease who developed an asystolic cardiac arrest during induction, immediately after laryngoscopy and intubation. The arrest was managed by an immediate CPR and a prompt initiation of cardiopulmonary bypass. The patient had a very smooth and uneventful post operative course and was discharged from our institution 5 days after surgery without any organ damage. We discuss in this case report the factors that may have precipitated the arrest as well the elements -barbiturates, immediate CPR and tepid hypothermic bypass- that may have contributed to the excellent outcome.},
 year = {2017}
}

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TY  - JOUR
T1  - Successful CPR in a Patient with Left Main Coronary Stenosis and Severe Aortoilliac Disease Following Intubation
AU  - Nadine Kawkabani
AU  - Rula Darwish
AU  - Bassem Ayyache
AU  - Bassam Abu Khalil
Y1  - 2017/01/05
PY  - 2017
N1  - https://doi.org/10.11648/j.ijcts.20160204.15
DO  - 10.11648/j.ijcts.20160204.15
T2  - International Journal of Cardiovascular and Thoracic Surgery
JF  - International Journal of Cardiovascular and Thoracic Surgery
JO  - International Journal of Cardiovascular and Thoracic Surgery
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EP  - 36
PB  - Science Publishing Group
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UR  - https://doi.org/10.11648/j.ijcts.20160204.15
AB  - The incidence of pre-bypass ischemia in patients undergoing coronary artery bypass grafting ranges between 10% to 50% [1]. We report in this paper a successful cardiopulmonary resuscitation (CPR) for a 75-year- old male patient with left main coronary disease who developed an asystolic cardiac arrest during induction, immediately after laryngoscopy and intubation. The arrest was managed by an immediate CPR and a prompt initiation of cardiopulmonary bypass. The patient had a very smooth and uneventful post operative course and was discharged from our institution 5 days after surgery without any organ damage. We discuss in this case report the factors that may have precipitated the arrest as well the elements -barbiturates, immediate CPR and tepid hypothermic bypass- that may have contributed to the excellent outcome.
VL  - 2
IS  - 4
ER  -

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Author Information

Nadine Kawkabani

Department of Cardiac Surgery Anesthesia, St Georges Hospital University Medical Center, Beirut, Lebanon
Rula Darwish

Department of Cardiac Surgery Anesthesia, St Georges Hospital University Medical Center, Beirut, Lebanon
Bassem Ayyache

Department of Cardiothoracic Surgery, St Georges Hospital University Medical Center, University of Balamand, Beirut, Lebanon
Bassam Abu Khalil

Department of Cardiothoracic Surgery, St Georges Hospital University Medical Center, Beirut, Lebanon

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Plain Text BibTeX RIS

APA Style

Nadine Kawkabani, Rula Darwish, Bassem Ayyache, Bassam Abu Khalil. (2017). Successful CPR in a Patient with Left Main Coronary Stenosis and Severe Aortoilliac Disease Following Intubation. International Journal of Cardiovascular and Thoracic Surgery, 2(4), 34-36. https://doi.org/10.11648/j.ijcts.20160204.15

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ACS Style

Nadine Kawkabani; Rula Darwish; Bassem Ayyache; Bassam Abu Khalil. Successful CPR in a Patient with Left Main Coronary Stenosis and Severe Aortoilliac Disease Following Intubation. Int. J. Cardiovasc. Thorac. Surg. 2017, 2(4), 34-36. doi: 10.11648/j.ijcts.20160204.15

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AMA Style

Nadine Kawkabani, Rula Darwish, Bassem Ayyache, Bassam Abu Khalil. Successful CPR in a Patient with Left Main Coronary Stenosis and Severe Aortoilliac Disease Following Intubation. Int J Cardiovasc Thorac Surg. 2017;2(4):34-36. doi: 10.11648/j.ijcts.20160204.15

Copy | Download

@article{10.11648/j.ijcts.20160204.15,
  author = {Nadine Kawkabani and Rula Darwish and Bassem Ayyache and Bassam Abu Khalil},
  title = {Successful CPR in a Patient with Left Main Coronary Stenosis and Severe Aortoilliac Disease Following Intubation},
  journal = {International Journal of Cardiovascular and Thoracic Surgery},
  volume = {2},
  number = {4},
  pages = {34-36},
  doi = {10.11648/j.ijcts.20160204.15},
  url = {https://doi.org/10.11648/j.ijcts.20160204.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcts.20160204.15},
  abstract = {The incidence of pre-bypass ischemia in patients undergoing coronary artery bypass grafting ranges between 10% to 50% [1]. We report in this paper a successful cardiopulmonary resuscitation (CPR) for a 75-year- old male patient with left main coronary disease who developed an asystolic cardiac arrest during induction, immediately after laryngoscopy and intubation. The arrest was managed by an immediate CPR and a prompt initiation of cardiopulmonary bypass. The patient had a very smooth and uneventful post operative course and was discharged from our institution 5 days after surgery without any organ damage. We discuss in this case report the factors that may have precipitated the arrest as well the elements -barbiturates, immediate CPR and tepid hypothermic bypass- that may have contributed to the excellent outcome.},
 year = {2017}
}

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TY  - JOUR
T1  - Successful CPR in a Patient with Left Main Coronary Stenosis and Severe Aortoilliac Disease Following Intubation
AU  - Nadine Kawkabani
AU  - Rula Darwish
AU  - Bassem Ayyache
AU  - Bassam Abu Khalil
Y1  - 2017/01/05
PY  - 2017
N1  - https://doi.org/10.11648/j.ijcts.20160204.15
DO  - 10.11648/j.ijcts.20160204.15
T2  - International Journal of Cardiovascular and Thoracic Surgery
JF  - International Journal of Cardiovascular and Thoracic Surgery
JO  - International Journal of Cardiovascular and Thoracic Surgery
SP  - 34
EP  - 36
PB  - Science Publishing Group
SN  - 2575-4882
UR  - https://doi.org/10.11648/j.ijcts.20160204.15
AB  - The incidence of pre-bypass ischemia in patients undergoing coronary artery bypass grafting ranges between 10% to 50% [1]. We report in this paper a successful cardiopulmonary resuscitation (CPR) for a 75-year- old male patient with left main coronary disease who developed an asystolic cardiac arrest during induction, immediately after laryngoscopy and intubation. The arrest was managed by an immediate CPR and a prompt initiation of cardiopulmonary bypass. The patient had a very smooth and uneventful post operative course and was discharged from our institution 5 days after surgery without any organ damage. We discuss in this case report the factors that may have precipitated the arrest as well the elements -barbiturates, immediate CPR and tepid hypothermic bypass- that may have contributed to the excellent outcome.
VL  - 2
IS  - 4
ER  -

Copy | Download