title: [Myocardial protection to the hypertrophied heart: the eternal challenge].
abstract: The myocardial protection allowed great advance in cardiac surgery, decreasing the mortality and making more feasible complex surgeries. Lately, the patient population elected for cardiac procedures has been changing towards elderly patients with ventricular function depressed and myocardial hypertrophy. The myocardial hypertrophy condition represents a great challenge since the beginning of the cardiac surgery. Several techniques have been described to protect the myocardial hypertrophy, however with no satisfactory results. In this manuscript we present the state of the art technique of myocardial protection.
authors: Faculdade de Medicina de Botucatu, Botucatu, SP, Brasil. kardiovet@kardiovet.com.br
authors: Elthon Silveira
authors: ES
authors: Cressoni
authors: Luiz Ernesto
authors: LE
authors: Avanci
authors: Domingo Marcolino
authors: DM
authors: Braile
authors: Antonio Carlos
authors: AC
authors: Cicogna
authors: Ana Paula Marques
authors: AP
authors: Lima-Oliveira
authors: Milena Alonso Egéa
authors: MA
authors: Gerez
authors: Antonio Sérgio
authors: AS
authors: Martins
mesh_terms: D002314:Cardioplegic Solutions / Q000627:therapeutic use*; D006324:Heart Arrest, Induced / Q000379:methods* / Q000592:standards; D006801:Humans; D017379:Hypertrophy, Left Ventricular / Q000503:physiopathology / Q000601:surgery*; D017380:Hypertrophy, Right Ventricular / Q000503:physiopathology / Q000601:surgery*; D015425:Myocardial Reperfusion; D015428:Myocardial Reperfusion Injury / Q000517:prevention & control*; D009206:Myocardium / Q000378:metabolism
chemical_list: D002314:Cardioplegic Solutions