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Profound hypothermic cardiac arrest treated successfully using minimally invasive cardiopulmonary bypass: a case
Robert Janas1, Rajwinder Singh Jutley, Sean Clinton
1Department of Cardiac Surgery, Northern General Hospital, Sheffield, UK.
Background:
Hypothermia 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 Report:
A 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.
Conclusion:
Cardiopulmonary bypass provides excellent circulatory support for profound hypothermia and allows rapid core rewarming. The femoro-femoral approach is the preferred method for this scenario.
