Isolated coronary graft perfusion prior to cardiopulmonary bypass during cardiac reoperations: A case report

B. Komorowski, P. Mantell, I. Kron, L. Sprinkle, R. Zacour

Research output: Contribution to journalArticle

Abstract

A 67 year old male presented to our service with angina, syncope, and dyspnea on exertion. He had had a three vessel coronary artery bypass ten years ago and had been asymptomatic until this time. A repeat cardiac catheterization revealed aortic valvular stenosis, left carotid artery stenosis, and restenosis of the left circumflex, anterior descending, and right coronary artery vein grafts. During sternal reentry, the left circumflex graft was inadvertently divided. Shortly thereafter, antero- lateral wall ischemia became evident on the electrocardiogram. The transesophageal echocardiogram revealed acute akinesis of the lateral ventricular wall. The divided graft was cannulated with a 3 mm vessel cannula and secured with a tie. The 4:1 blood cardioplegia system was flushed with a balanced electrolyte solution to remove all cardioplegia solution. Autologous washed red blood cells and homologous packed red blood cells were added to the pump prime. The blood cardioplegia system was used to deliver warm, oxygenated blood to the graft. Graft perfusion was performed for a total of 28 minutes prior to cardiopulmonary bypass. After completion of the surgery the patient was weaned from cardiopulmonary bypass without incident. He had an uncomplicated post-operative course and was discharged from the hospital in good condition.

Original languageEnglish (US)
Pages (from-to)91-93
Number of pages3
JournalJournal of Extra-Corporeal Technology
Volume26
Issue number2
StatePublished - Jan 1 1994
Externally publishedYes

Fingerprint

Cardiopulmonary Bypass
Reoperation
Perfusion
Induced Heart Arrest
Transplants
Coronary Vessels
Erythrocytes
Carotid Stenosis
Aortic Valve Stenosis
Syncope
Cardiac Catheterization
Coronary Artery Bypass
Dyspnea
Electrolytes
Electrocardiography
Ischemia

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Health Professions (miscellaneous)
  • Cardiology and Cardiovascular Medicine

Cite this

Isolated coronary graft perfusion prior to cardiopulmonary bypass during cardiac reoperations : A case report. / Komorowski, B.; Mantell, P.; Kron, I.; Sprinkle, L.; Zacour, R.

In: Journal of Extra-Corporeal Technology, Vol. 26, No. 2, 01.01.1994, p. 91-93.

Research output: Contribution to journalArticle

@article{727a22147b0740879927962cae6538ca,
title = "Isolated coronary graft perfusion prior to cardiopulmonary bypass during cardiac reoperations: A case report",
abstract = "A 67 year old male presented to our service with angina, syncope, and dyspnea on exertion. He had had a three vessel coronary artery bypass ten years ago and had been asymptomatic until this time. A repeat cardiac catheterization revealed aortic valvular stenosis, left carotid artery stenosis, and restenosis of the left circumflex, anterior descending, and right coronary artery vein grafts. During sternal reentry, the left circumflex graft was inadvertently divided. Shortly thereafter, antero- lateral wall ischemia became evident on the electrocardiogram. The transesophageal echocardiogram revealed acute akinesis of the lateral ventricular wall. The divided graft was cannulated with a 3 mm vessel cannula and secured with a tie. The 4:1 blood cardioplegia system was flushed with a balanced electrolyte solution to remove all cardioplegia solution. Autologous washed red blood cells and homologous packed red blood cells were added to the pump prime. The blood cardioplegia system was used to deliver warm, oxygenated blood to the graft. Graft perfusion was performed for a total of 28 minutes prior to cardiopulmonary bypass. After completion of the surgery the patient was weaned from cardiopulmonary bypass without incident. He had an uncomplicated post-operative course and was discharged from the hospital in good condition.",
author = "B. Komorowski and P. Mantell and I. Kron and L. Sprinkle and R. Zacour",
year = "1994",
month = "1",
day = "1",
language = "English (US)",
volume = "26",
pages = "91--93",
journal = "Journal of Extra-Corporeal Technology",
issn = "0022-1058",
publisher = "American Society of Extra-Corporeal Technology",
number = "2",

}

TY - JOUR

T1 - Isolated coronary graft perfusion prior to cardiopulmonary bypass during cardiac reoperations

T2 - A case report

AU - Komorowski, B.

AU - Mantell, P.

AU - Kron, I.

AU - Sprinkle, L.

AU - Zacour, R.

PY - 1994/1/1

Y1 - 1994/1/1

N2 - A 67 year old male presented to our service with angina, syncope, and dyspnea on exertion. He had had a three vessel coronary artery bypass ten years ago and had been asymptomatic until this time. A repeat cardiac catheterization revealed aortic valvular stenosis, left carotid artery stenosis, and restenosis of the left circumflex, anterior descending, and right coronary artery vein grafts. During sternal reentry, the left circumflex graft was inadvertently divided. Shortly thereafter, antero- lateral wall ischemia became evident on the electrocardiogram. The transesophageal echocardiogram revealed acute akinesis of the lateral ventricular wall. The divided graft was cannulated with a 3 mm vessel cannula and secured with a tie. The 4:1 blood cardioplegia system was flushed with a balanced electrolyte solution to remove all cardioplegia solution. Autologous washed red blood cells and homologous packed red blood cells were added to the pump prime. The blood cardioplegia system was used to deliver warm, oxygenated blood to the graft. Graft perfusion was performed for a total of 28 minutes prior to cardiopulmonary bypass. After completion of the surgery the patient was weaned from cardiopulmonary bypass without incident. He had an uncomplicated post-operative course and was discharged from the hospital in good condition.

AB - A 67 year old male presented to our service with angina, syncope, and dyspnea on exertion. He had had a three vessel coronary artery bypass ten years ago and had been asymptomatic until this time. A repeat cardiac catheterization revealed aortic valvular stenosis, left carotid artery stenosis, and restenosis of the left circumflex, anterior descending, and right coronary artery vein grafts. During sternal reentry, the left circumflex graft was inadvertently divided. Shortly thereafter, antero- lateral wall ischemia became evident on the electrocardiogram. The transesophageal echocardiogram revealed acute akinesis of the lateral ventricular wall. The divided graft was cannulated with a 3 mm vessel cannula and secured with a tie. The 4:1 blood cardioplegia system was flushed with a balanced electrolyte solution to remove all cardioplegia solution. Autologous washed red blood cells and homologous packed red blood cells were added to the pump prime. The blood cardioplegia system was used to deliver warm, oxygenated blood to the graft. Graft perfusion was performed for a total of 28 minutes prior to cardiopulmonary bypass. After completion of the surgery the patient was weaned from cardiopulmonary bypass without incident. He had an uncomplicated post-operative course and was discharged from the hospital in good condition.

UR - http://www.scopus.com/inward/record.url?scp=0028361396&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0028361396&partnerID=8YFLogxK

M3 - Article

AN - SCOPUS:0028361396

VL - 26

SP - 91

EP - 93

JO - Journal of Extra-Corporeal Technology

JF - Journal of Extra-Corporeal Technology

SN - 0022-1058

IS - 2

ER -