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.
| Original language | English |
|---|---|
| Pages (from-to) | 245-247 |
| Number of pages | 3 |
| Journal | The Annals of Thoracic Surgery |
| Volume | 51 |
| Issue number | 2 |
| DOIs | |
| State | Published - Jan 1 1991 |
| Externally published | Yes |
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ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
- Surgery
Cite this
Retrograde continuous warm blood cardioplegia : A new concept in myocardial protection. / Salerno, Tomas; Houck, James P.; Barrozo, Carlos A M; Panos, Anthony; Christakis, George T.; Abel, James G.; Lichtenstein, Samuel V.
In: The Annals of Thoracic Surgery, Vol. 51, No. 2, 01.01.1991, p. 245-247.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Retrograde continuous warm blood cardioplegia
T2 - A new concept in myocardial protection
AU - Salerno, Tomas
AU - Houck, James P.
AU - Barrozo, Carlos A M
AU - Panos, Anthony
AU - Christakis, George T.
AU - Abel, James G.
AU - Lichtenstein, Samuel V.
PY - 1991/1/1
Y1 - 1991/1/1
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=0026099835&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0026099835&partnerID=8YFLogxK
U2 - 10.1016/0003-4975(91)90795-R
DO - 10.1016/0003-4975(91)90795-R
M3 - Article
VL - 51
SP - 245
EP - 247
JO - Annals of Thoracic Surgery
JF - Annals of Thoracic Surgery
SN - 0003-4975
IS - 2
ER -