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Intraoperative Assessment of the Stunned versus Infarcted Myocardium with the Simultaneous Use of Transesophageal Echocardiography and the Measurement of Myocardial pH: Two Case Studies
Author(s) -
Khuri Shukri F.,
Farhat Tammam,
Zankoul Fuad,
Healey Nancy A.,
Zolkewitz Michael A.,
Treanor Patrick R.,
Birjiniuk Vladimir,
Pietro Daniel,
Murkerjee Anil
Publication year - 1994
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.1994.9.3s.403
Subject(s) - medicine , cardiology , myocardial infarction , myocardial stunning , stunning , ischemia
The ability to differentiate intraoperatively between myocardial stunning, which is reversible, and irreversible myocardial infarction has major implications because it provides a rational approach to the use or withholding of ventricular assist devices in patients with severe postcardiotomy ventricular dysfunction. Two illustrative cases are presented.