Journal of Cardiothoracic and Vascular Anesthesia 32 (2018) 935–937 Contents lists available at ScienceDirect Journal of Cardiothoracic and Vascular Anesthesia journal homepage: www.jcvaonline.com Case Report Successful Minimally Invasive Mitral Valve Replacement Using Normothermic Fibrillatory Arrest in a Patient With Cold Urticaria n † James A. Nelson, MBBS , Simon Maltais, MD, PhD , n ‡ Jonathan J. Fox, MD , John B. Hagan, MD , ‡ n,1 Kari L. Rossow, PA-C , William J. Mauermann, MD Department of Anesthesiology, Mayo Clinic, Rochester, MN Department of Cardiovascular Surgery, Mayo Clinic, Rochester, MN Department of Allergy and Outpatient Infectious Disease, Mayo Clinic, Rochester, MN Key Words: cold urticaria; hypothermia; normothermic ﬁbrillatory arrest; minimally invasive mitral valve surgery; cold stimulation testing Cold urticaria is a disorder that manifests in a spectrum speciﬁcity of 83%-to-90% and 100%, respectively, with of symptoms that may range from pruritic wheals upon laboratory testing rarely required. localized exposure to cold objects to life-threatening anaphy- The operating room (OR) environment presents a number laxis upon systemic exposure to cold such as with cold water of challenges to patients with this disorder. Maintenance of immersion. It is relatively rare, with an equal preponderance in anesthesia may lead to hypothermia;
Journal of Cardiothoracic and Vascular Anesthesia – Elsevier
Published: Apr 1, 2018
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