TECHNICAL ASPECTS OF WARM HEART-SURGERY

被引:21
作者
LICHTENSTEIN, SV
FREMES, SE
ABEL, JG
CHRISTAKIS, GT
SALERNO, TA
机构
[1] Divisions of Cardiovascular Surgery, St. Michael's Hospital and Sunnybrook Health Sciences Center, University of Toronto
关键词
D O I
10.1111/j.1540-8191.1991.tb00310.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Intermittent hypothermic cardioplegia has been adopted as the method of choice for myocardial protection by most surgeons. The most important aspect of this protection is believed to be adequate hypothermia. An alternative technique has been developed, based on the principles of electromechanical arrest and normothermic aerobic perfusion using continuous warm blood cardioplegia. With this method of myocardial protection the heart is maintained at 37-degrees-C throughout the operative procedure. The specific technical aspects used shall be described in detail.
引用
收藏
页码:278 / 285
页数:8
相关论文
共 11 条
[1]  
Lichtenstein SV, El-Dalati H, Panos A, Et al., Long cross‐clamp time with warm heart surgery, Lancet, 1, (1989)
[2]  
Lichtenstein SV, Ashe KA, El-Dalati H, Et al., Warm heart surgery, J Thorac Cardiovasc Surg, 101, (1991)
[3]  
Lichtenstein SV, Salerno TA, Slutsky AS, Warm continuous cardioplegia is preferable to intermittent hypothermic cardioplegia for myocardial protection during cardiopulmonary bypass: Pro and Con, J Cardiothorac Anesth, 4, 2, (1990)
[4]  
Bernhard WF, Schwarz HF, Malick NP, Intermittent cold coronary perfusion as an adjunct to open heart surgery, Surg Gynec Obstet, 111, (1960)
[5]  
Buckberg CD, Antegrade/retrograde blood cardioplegia to ensure cardioplegic distribution: Operative techniques and objectives, J Cardiac Surg, 4, 3, (1989)
[6]  
Lichtenstein SV, Abel JG, Panos A, Et al., Antegrade and retrograde warm aerobic arrest, Ann Thorac Surg, (1991)
[7]  
Buckberg GD, Strategies and logic of cardioplegic delivery to prevent, avoid, and reverse ischemic and reperfusion drainage, J Thorac Cardiovasc Surg, 93, (1987)
[8]  
Bonfim V, Kaijser L, Bendz R, Et al., Myocardial protection during aortic valve replacement, Scandinavian Cardiovascular Journal, 15, (1981)
[9]  
Khuri SF, Warner KG, Josa M, Et al., The superiority of continuous cold blood cardioplegia in the metabolic protection of the hypertrophied human heart, J Thorac Cardiovasc Surg, 95, (1988)
[10]  
Panos A, Lichtenstein SV, Wittnich C, Et al., Assessment of continuous oxygenated blood cardioplegia in surgery for acute postinfarction mitral insufficiency, Ann Thorac Surg, 48, (1989)