ISSN: 2155-6148
Department of Cardiothoracic and Vascular Surgery, Govind Ballabh Pant Institute of Postgraduate Medical Education and Research, New Delhi, India
Review Article
Amiodarone in Aortic Root: A Noval Approach to Treat the Refractory Ventricular Fibrillation After Release of Aortic Cross Clamp. A Review
Author(s): Vishnu Datt*, Datt Diksha, MA Geelani, Divya, Sneha Satya, Suman Keshav and Subodh Satyarthi
Refractory Ventricular Fibrillation (VF) is referred to as VF that persists or reappears after termination despite three
successive shocks delivery, 3 mg of epinephrine, and 300 mg of amiodarone, and failure to obtain the Return of
Spontaneous Circulation (ROSC) within 10 min and requires multiple Direct Current (DC) shocks. It is rare but a
fatal complication after cardiac surgery. VF often occurs after the release of Aortic Cross-Clamp (ACC) in patients
undergoing cardiac surgery using Cardiopulmonary Bypass (CPB). In patients with concentric Left Ventricular
Hypertrophy (LVH) of severe aortic stenosis, either continuous VF occurs after release of ACC or reverts to sinus
rhythm and crops up again and at times difficult to terminate. Persistent VF and repeated monophasic DC shocks
can increase myocardial oxygen demand and myocardial injuries. Intravenous slow bol.. View More»
DOI:
10.35248/2155-6148.24.15.1132