Blood and crystalloid cardioplegia in aortic valve surgery.
Eighty-six patients who had undergone aortic valve surgery were reviewed. Forty-three had received crystalloid cardioplegia, the other 43 blood cardioplegia. Spontaneous beating after cross-clamp release (blood 11; crystalloid 0; P < 0.001), number of defibrillations (blood 2.1 +/- 2.6; crystalloid 3.8 +/- 2.2; P < 0.01) and CK-MB values on the operation day (blood 65 +/- 55, crystalloid 112 +/- 73; P < 0.001) and on the following day (blood 53 +/- 43, crystalloid 96 +/- 98; P < 0.01) indicated that blood is a better cardioplegic vehicle for patients with hypertrophied hearts.
Pehkonen
E J
EJ
Department of Surgery, Tampere University Hospital, Finland.
Anttonen
O M
OM
Tarkka
M R
MR
D000328:Adult; D000368:Aged; D001021:Aortic Valve / Q000601:surgery; D001022:Aortic Valve Insufficiency / Q000401:mortality / Q000601:surgery*; D001024:Aortic Valve Stenosis / Q000401:mortality / Q000601:surgery*; D001769:Blood; D002314:Cardioplegic Solutions; D002423:Cause of Death; D005260:Female; D006324:Heart Arrest, Induced / Q000379:methods*; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000209:etiology / Q000401:mortality; D015428:Myocardial Reperfusion Injury / Q000209:etiology / Q000401:mortality; D011183:Postoperative Complications / Q000209:etiology / Q000401:mortality; D012189:Retrospective Studies; D012307:Risk Factors
D002314:Cardioplegic Solutions