Recovery after prolonged cross-clamping tepid blood cardioplegia: report of a case.
Despite a prolonged repetitive aortic cross-clamp time of 411 min, a patient who suffered a left ventricular rupture after undergoing mitral valve replacement following mitral valvuloplasty and Maze procedure recovered without any permanent residual left ventricular dysfunction. During the aortic cross-clamping we used tepid blood cardioplegia for myocardial protection. This case report serves to demonstrate the potential of tepid blood cardioplegia as an effective method of myocardial protection.
Katoh
T
T
First Department of Surgery, Yamaguchi University School of Medicine, Kogushi, Ube, Japan.
Esato
K
K
Gohra
H
H
Hamano
K
K
Fujimura
Y
Y
Tsuboi
H
H
D000368:Aged; D003250:Constriction; D004562:Electrocardiography; D005260:Female; D006324:Heart Arrest, Induced / Q000379:methods*; D006335:Heart Injuries / Q000209:etiology*; D006350:Heart Valve Prosthesis; D006352:Heart Ventricles / Q000293:injuries*; D006801:Humans; D008944:Mitral Valve Insufficiency / Q000601:surgery; D013997:Time Factors