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Journal of Cardiothoracic Surgery
Published in: Journal of Cardiothoracic Surgery 1/2011

Open Access 01-12-2011 | Case report

Abdominal only CPR during cardiac arrest for a patient with an LVAD during resternotomy: A case report

Authors: Eric M Rottenberg, Jarrett Heard, Robert Hamlin, Benjamin C Sun, Hamdy Awad

Published in: Journal of Cardiothoracic Surgery | Issue 1/2011

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Abstract

We present a case in which a patient with a previous sternotomy and left ventricular assist device (LVAD) implantation developed cardiac arrest during resternotomy for LVAD exchange. The surgeon refused chest compressions for fear of potential damage to the inflow cannula directly beneath the sternum. The perioperative team had no alternatives to external cardiac massage other than rapid deployment of extra-corporeal membrane oxygenation for mechanical support, so the anesthesiologist advised the nursing personnel to perform abdominal only cardiopulmonary resuscitation while the surgeon performed a femoral bypass to cannulate the groin for extra-corporeal membrane oxygenation support.
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Literature
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Metadata
Title
Abdominal only CPR during cardiac arrest for a patient with an LVAD during resternotomy: A case report
Authors
Eric M Rottenberg
Jarrett Heard
Robert Hamlin
Benjamin C Sun
Hamdy Awad
Publication date
01-12-2011
Publisher
BioMed Central
Published in
Journal of Cardiothoracic Surgery / Issue 1/2011
Electronic ISSN: 1749-8090
DOI
https://doi.org/10.1186/1749-8090-6-91

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