Document Detail


Beyond cold cardioplegia.
MedLine Citation:
PMID:  1554279     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
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    
Affiliation:
Department of Cardiovascular Surgery, Hopital Europeen de Paris La Roseraie, France.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aerobiosis
Aged
Aged, 80 and over
Body Temperature
Cardiac Output
Cardiac Output, Low / etiology
Cardioplegic Solutions / administration & dosage,  therapeutic use
Cardiopulmonary Bypass
Coronary Artery Bypass
Female
Heart Arrest, Induced / methods*
Heart Valve Diseases / surgery
Humans
Intra-Aortic Balloon Pumping
Male
Middle Aged
Myocardial Contraction
Myocardial Reperfusion
Prospective Studies
Survival Rate
Time Factors
Chemical
Reg. No./Substance:
0/Cardioplegic Solutions
Comments/Corrections
Comment In:
Ann Thorac Surg. 1993 Nov;56(5):1217-8   [PMID:  8239837 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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