[Myocardial protection to the hypertrophied heart: the eternal challenge].
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.
Cressoni
Elthon Silveira
ES
Faculdade de Medicina de Botucatu, Botucatu, SP, Brasil. kardiovet@kardiovet.com.br
Avanci
Luiz Ernesto
LE
Braile
Domingo Marcolino
DM
Cicogna
Antonio Carlos
AC
Lima-Oliveira
Ana Paula Marques
AP
Gerez
Milena Alonso Egéa
MA
Martins
Antonio Sérgio
AS
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
D002314:Cardioplegic Solutions