Journal article
Retrograde continuous warm blood cardioplegia: A new concept in myocardial protection
The Annals of thoracic surgery, Vol.51(2), pp.245-247
1991
DOI: 10.1016/0003-4975(91)90795-R
PMID: 1989540
Abstract
This report presents the results in our first clinical series of patients receiving continuous warm blood cardioplegia through the coronary sinus. Warm oxygenated blood cardioplegia has certain theoretical advantages, such as continuously supplying oxygen and substrates to the arrested heart while avoiding the side effects of hypothermia. Retrograde infusion of cardioplegia also offers certain advantages (eg, in valve operations and in patients with severe coronary artery disease) that are complementary to warm blood cardioplegia. Retrograde warm blood cardioplegia was used in 113 consecutive patients (85 men and 28 women with a mean age of 61 years) undergoing various procedures. Three percent of the patients died, 7% needed transient intraaortic balloon pump support, 6% had evidence of perioperative myocardial infarction, and 96% had spontaneous return of rhythm. There were no coronary sinus injuries. This new technique of retrograde continuous warm blood cardioplegia is a simple, safe, and reliable method of myocardial protection that may change the way we currently protect the heart intraoperatively.
Details
- Title: Subtitle
- Retrograde continuous warm blood cardioplegia: A new concept in myocardial protection
- Creators
- Tomas A SalernoJames P HouckCarlos A.M BarrozoAnthony PanosGeorge T ChristakisJames G AbelSamuel V Lichtenstein
- Resource Type
- Journal article
- Publication Details
- The Annals of thoracic surgery, Vol.51(2), pp.245-247
- Publisher
- Elsevier Inc
- DOI
- 10.1016/0003-4975(91)90795-R
- PMID
- 1989540
- ISSN
- 0003-4975
- eISSN
- 1552-6259
- Language
- English
- Date published
- 1991
- Academic Unit
- Surgery; Cardiothoracic Surgery
- Record Identifier
- 9984051570402771
Metrics
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