Document Detail

Beyond cold cardioplegia.
MedLine Citation:
PMID:  1554279     Owner:  NLM     Status:  MEDLINE    
One hundred fifteen consecutive patients were operated on for myocardial revascularization or valvular disease or both with continuous antegrade and retrograde aerobic warm (37 degrees C) blood cardioplegia. Mean cross-clamp time was 56.3 +/- 21 minutes (+/- standard deviation). Mean reperfusion time was 18.4 +/- 11.8 minutes (range, 5 to 81 minutes). Five patients (4.3%) died, and 15 (13%) needed inotropic support. Two (1.7%) required intraaortic balloon support. Two patients (1.7%) had evidence of perioperative myocardial infarction, and 98 (85%) returned spontaneously to normal sinus rhythm. Sixteen patients had a cross-clamp time greater than 80 minutes. All 16 of them had an uneventful postoperative course except for 1 patient who required inotropic drugs. This method of myocardial protection is now used for all open heart procedures in our institution.
A Lessana; M Romano; A I Singh; D Le Houerou; V Martin; B Jegier; E Palsky; H Q Yu; E Belli; C Carbone
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  53     ISSN:  0003-4975     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  1992 Apr 
Date Detail:
Created Date:  1992-04-27     Completed Date:  1992-04-27     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  666-9     Citation Subset:  AIM; IM    
Department of Cardiovascular Surgery, Hopital Europeen de Paris La Roseraie, France.
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MeSH Terms
Aged, 80 and over
Body Temperature
Cardiac Output
Cardiac Output, Low / etiology
Cardioplegic Solutions / administration & dosage,  therapeutic use
Cardiopulmonary Bypass
Coronary Artery Bypass
Heart Arrest, Induced / methods*
Heart Valve Diseases / surgery
Intra-Aortic Balloon Pumping
Middle Aged
Myocardial Contraction
Myocardial Reperfusion
Prospective Studies
Survival Rate
Time Factors
Reg. No./Substance:
0/Cardioplegic Solutions
Comment In:
Ann Thorac Surg. 1993 Nov;56(5):1217-8   [PMID:  8239837 ]

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