Warm blood cardioplegia as an adjunct to myocardial preservation during coronary artery bypass grafting.

摘要: A review of the first 52 consecutive coronary artery bypass surgery patients to receive oxygenated blood cardioplegia, with warm reperfusion cardioplegia ('hot shot'), was undertaken evaluate its effectiveness in myocardial protection. The chosen parameters ischaemia were: (i) occurrence ventricular fibrillation (VF) on release aortic cross-clamp (ACC); (ii) bradycardia due cardiac conduction defects; (iii) use inotropes or without intra-aortic balloon pump (IABP); (iv) evidence infarction (MI) postoperative electrocardiograph (ECG); and (v) peri-operative cardiogenic mortality. Warm induction cooled after standstill. Repeat cold given as required at intervals prior ACC. Of studied none developed VF ACC; one patient pre-operative complete heart block temporary pacing; no IABP there MI technique has not resulted any detectable inadequate beneficial effect been demonstrated by absence VF, defects, failure,