Journal article
Recent Developments in Myocardial Protection: Retrograde Cardioplegia
Asian cardiovascular & thoracic annals, Vol.5(1), pp.2-7
03/1997
DOI: 10.1177/021849239700500102
Abstract
In recent years there has been increasing use of coronary sinus perfusion to deliver cardioplegic solutions during open-heart surgery. This has been aided by advances in coronary sinus catheter design and by easier methods of cannula insertion. Coronary sinus perfusion has been used with both intermittent crystalloid and blood cardioplegia and has recently evolved to include retrograde continuous normothermic blood cardioplegia. Coronary sinus perfusion has several advantages including safety, ease of use (with a single cannula placed out of the operative field), usefulness in patients with significant aortic regurgitation, redo coronary artery bypass graft surgery, and acute myocardial infarction. However, there are continuing concerns about the distribution of retrograde perfusion, preservation of right ventricular function, dislodgment of the coronary sinus catheter (and resulting ischemia during surgery), and damage to the coronary sinus.
Details
- Title: Subtitle
- Recent Developments in Myocardial Protection: Retrograde Cardioplegia
- Creators
- Anthony L Panos - University of Colorado HealthSalim Aziz - University of Colorado Health
- Resource Type
- Journal article
- Publication Details
- Asian cardiovascular & thoracic annals, Vol.5(1), pp.2-7
- DOI
- 10.1177/021849239700500102
- ISSN
- 0218-4923
- eISSN
- 1816-5370
- Language
- English
- Date published
- 03/1997
- Academic Unit
- Cardiothoracic Surgery
- Record Identifier
- 9984323059502771
Metrics
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