title: Recovery after prolonged cross-clamping tepid blood cardioplegia: report of a case.
abstract: 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.
authors.affiliation: First Department of Surgery, Yamaguchi University School of Medicine, Kogushi, Ube, Japan.
authors.forename: T
authors.initials: T
authors.lastname: Katoh
authors.forename: K
authors.initials: K
authors.lastname: Esato
authors.forename: H
authors.initials: H
authors.lastname: Gohra
authors.forename: K
authors.initials: K
authors.lastname: Hamano
authors.forename: Y
authors.initials: Y
authors.lastname: Fujimura
authors.forename: H
authors.initials: H
authors.lastname: Tsuboi
mesh_terms: 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