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Ann Thorac Surg 1991;52:560-561
© 1991 The Society of Thoracic Surgeons

Articles

Perfusion without systemic heparinization for rewarming in accidental hypothermia

L.K. von Segesser, MD*, E. Garcia, BA, M. Turina, MD

Clinic for Cardiovascular Surgery, University Hospital, Zürich, Switzerland

Accepted for publication February 5, 1991.

* Address reprint requests to Dr von Segesser, Clinic for Cardiovascular Surgery, University Hospital, CH-8091 Zürich, Switzerland.

We report on a patient with accidental deep hypothermia (23.3 °C) and cardiorespiratory arrest resulting from severe craniocerebral injury. Systemic anticoagulation was contraindicated, and the decision was reached to rewarm the patient with cardiopulmonary bypass without systemic heparinization using heparin-coated perfusion equipment. The patient was successfully rewarmed, was weaned from cardiopulmonary bypass, and recovered.




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