[Comparison of the effectiveness of crystalloid and warm blood cardioplegia in patients with significant left ventricular dysfunction].
In a group of 84 patients undergoing elective coronary artery bypass surgery and with the ejection fraction lower than 40% two types of myocardial protection were studied. Group I (41 cases) was given intermittent cold crystalloid cardioplegia and group II (43 patients) was given intermittent warm blood cardioplegia followed by normothermic reperfusion. Preoperative, intraoperative and postoperative data were retrospectively collected. There were no differences between the two groups except more rhythm disturbances in group I and higher incidence of neurological complications in group II.


CONCLUSIONS
Warm blood cardioplegia is an effective, cheap and practical myocardial protection technique.
Urban
T
T
II. chirurgická klinika kardiovaskulární chirurgie Vseobecné fakultní nemocnice v Praze a 1. lékarské fakulty Univerzity Karlovy.
Táborský
J
J
Vanĕk
I
I
Semrád
M
M
Miler
I
I
D000328:Adult; D000368:Aged; D001769:Blood; D002314:Cardioplegic Solutions; D001026:Coronary Artery Bypass; D005260:Female; D006324:Heart Arrest, Induced / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D017680:Potassium Compounds; D011446:Prospective Studies; D018487:Ventricular Dysfunction, Left
D002314:Cardioplegic Solutions; D017680:Potassium Compounds; C018369:potassium cardioplegic solution
Srovnání úcinnosti krystaloidní a krevní teplé kardioplegie u pacientů s významnou dysfunkcí levé komory srdecní.