Emergency bypass post percutaneous atrial ablation: a case report.

Hdl Handle:
http://hdl.handle.net/10147/200097
Title:
Emergency bypass post percutaneous atrial ablation: a case report.
Authors:
Hargrove, M; Marshall, C B; Jahanjir, S; Hinchion, J
Affiliation:
Cardiothoracic Surgery Unit, Cork University Hospital, Wilton, Cork, Ireland. Martin.Hargrove@hse.ie
Citation:
Emergency bypass post percutaneous atrial ablation: a case report. 2010, 25 (6):423-4 Perfusion
Journal:
Perfusion
Issue Date:
Nov-2010
URI:
http://hdl.handle.net/10147/200097
DOI:
10.1177/0267659110381154
PubMed ID:
20699286
Abstract:
A 34-year-old male undergoing percutaneous atrial ablation procedure for paroxysmal fibrillation required emergency sternotomy for cardiac tamponade. The patient had been anticoagulated and had received plavix and aspirin prior to and during the ablation procedure. Seven units of red cell concentrate had been transfused in the cardiac catherisation laboratory. On arrival in theatre, the patient was hypotensive, but was awake on induction of anaesthesia. No recordable blood pressure with non-invasive monitoring was observed. A sternotomy was immediately performed and, on evacuation of the pericardium, a bleeding site was not visible. The patient was commenced on cardiopulmonary bypass. Bleeding site was identified and the defect closed. The patient was weaned from cardiopulmonary bypass with minimal inotropic support and made an uneventful recovery. Bypass time was 38 minutes. A literature review showed a 1% incidence of post-ablation bleeding(1). The incidence of reverting to bypass for such an event has not been reported previously. During these procedures, it might be wise to have the cardiothoracic team notified while atrial ablation procedures are being performed in the cardiac catheterization laboratory.
Item Type:
Article
Language:
en
Description:
A 34-year-old male undergoing percutaneous atrial ablation procedure for paroxysmal fibrillation required emergency sternotomy for cardiac tamponade. The patient had been anticoagulated and had received plavix and aspirin prior to and during the ablation procedure. Seven units of red cell concentrate had been transfused in the cardiac catherisation laboratory. On arrival in theatre, the patient was hypotensive, but was awake on induction of anaesthesia. No recordable blood pressure with non-invasive monitoring was observed. A sternotomy was immediately performed and, on evacuation of the pericardium, a bleeding site was not visible. The patient was commenced on cardiopulmonary bypass. Bleeding site was identified and the defect closed. The patient was weaned from cardiopulmonary bypass with minimal inotropic support and made an uneventful recovery. Bypass time was 38 minutes. A literature review showed a 1% incidence of post-ablation bleeding(1). The incidence of reverting to bypass for such an event has not been reported previously. During these procedures, it might be wise to have the cardiothoracic team notified while atrial ablation procedures are being performed in the cardiac catheterization laboratory.
MeSH:
Adult; Anticoagulants; Blood Transfusion; Cardiac Tamponade; Cardiopulmonary Bypass; Catheter Ablation; Heart Atria; Humans; Male
ISSN:
1477-111X

Full metadata record

DC FieldValue Language
dc.contributor.authorHargrove, Men
dc.contributor.authorMarshall, C Ben
dc.contributor.authorJahanjir, Sen
dc.contributor.authorHinchion, Jen
dc.date.accessioned2012-01-04T16:26:51Z-
dc.date.available2012-01-04T16:26:51Z-
dc.date.issued2010-11-
dc.identifier.citationEmergency bypass post percutaneous atrial ablation: a case report. 2010, 25 (6):423-4 Perfusionen
dc.identifier.issn1477-111X-
dc.identifier.pmid20699286-
dc.identifier.doi10.1177/0267659110381154-
dc.identifier.urihttp://hdl.handle.net/10147/200097-
dc.descriptionA 34-year-old male undergoing percutaneous atrial ablation procedure for paroxysmal fibrillation required emergency sternotomy for cardiac tamponade. The patient had been anticoagulated and had received plavix and aspirin prior to and during the ablation procedure. Seven units of red cell concentrate had been transfused in the cardiac catherisation laboratory. On arrival in theatre, the patient was hypotensive, but was awake on induction of anaesthesia. No recordable blood pressure with non-invasive monitoring was observed. A sternotomy was immediately performed and, on evacuation of the pericardium, a bleeding site was not visible. The patient was commenced on cardiopulmonary bypass. Bleeding site was identified and the defect closed. The patient was weaned from cardiopulmonary bypass with minimal inotropic support and made an uneventful recovery. Bypass time was 38 minutes. A literature review showed a 1% incidence of post-ablation bleeding(1). The incidence of reverting to bypass for such an event has not been reported previously. During these procedures, it might be wise to have the cardiothoracic team notified while atrial ablation procedures are being performed in the cardiac catheterization laboratory.en
dc.description.abstractA 34-year-old male undergoing percutaneous atrial ablation procedure for paroxysmal fibrillation required emergency sternotomy for cardiac tamponade. The patient had been anticoagulated and had received plavix and aspirin prior to and during the ablation procedure. Seven units of red cell concentrate had been transfused in the cardiac catherisation laboratory. On arrival in theatre, the patient was hypotensive, but was awake on induction of anaesthesia. No recordable blood pressure with non-invasive monitoring was observed. A sternotomy was immediately performed and, on evacuation of the pericardium, a bleeding site was not visible. The patient was commenced on cardiopulmonary bypass. Bleeding site was identified and the defect closed. The patient was weaned from cardiopulmonary bypass with minimal inotropic support and made an uneventful recovery. Bypass time was 38 minutes. A literature review showed a 1% incidence of post-ablation bleeding(1). The incidence of reverting to bypass for such an event has not been reported previously. During these procedures, it might be wise to have the cardiothoracic team notified while atrial ablation procedures are being performed in the cardiac catheterization laboratory.-
dc.language.isoenen
dc.subject.meshAdult-
dc.subject.meshAnticoagulants-
dc.subject.meshBlood Transfusion-
dc.subject.meshCardiac Tamponade-
dc.subject.meshCardiopulmonary Bypass-
dc.subject.meshCatheter Ablation-
dc.subject.meshHeart Atria-
dc.subject.meshHumans-
dc.subject.meshMale-
dc.titleEmergency bypass post percutaneous atrial ablation: a case report.en
dc.typeArticleen
dc.contributor.departmentCardiothoracic Surgery Unit, Cork University Hospital, Wilton, Cork, Ireland. Martin.Hargrove@hse.ieen
dc.identifier.journalPerfusionen
dc.description.provinceMunster-
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