Use of del Nido Cardioplegia in Adult Cardiac Surgery.
Background: del Nido cardioplegia was developed to protect pediatric hearts, and similar to pediatric hearts, older adult hearts tolerate ischemia-reperfusion poorly. This study investigates the feasibility of del Nido cardioplegia as an alternative to conventional Buckberg cardioplegia in adult cardiac surgery.


METHODS
A total of 142 adult patients undergoing cardiopulmonary bypass with del Nido cardioplegia and conventional Buckberg cardioplegia were retrospectively reviewed.


RESULTS
Fewer doses of cardioplegia and fewer defibrillations were noted with del Nido cardioplegia, and there were no significant differences in incidence of postoperative events.


CONCLUSIONS
del Nido cardioplegia may be a feasible alternative to conventional Buckberg cardioplegia.
Department of Surgery, Virginia Commonwealth University Medical Center, Richmond, Virginia, United States.
Rajesh
R
Ramanathan
Department of Surgery, Virginia Commonwealth University Medical Center, Richmond, Virginia, United States.
Dan W
DW
Parrish
Department of Surgery, Virginia Commonwealth University Medical Center, Richmond, Virginia, United States.
Trygve K
TK
Armour
Department of Cardiac Surgery, Lenox Hill Hospital, North Shore-Long Island Jewish Health System, New York, New York, United States.
Derek R
DR
Brinster
D000368:Aged; D000369:Aged, 80 and over; D015992:Body Mass Index; D002315:Cardiopulmonary Bypass / Q000379:methods; D005240:Feasibility Studies; D005260:Female; D006324:Heart Arrest, Induced / Q000009:adverse effects / Q000379:methods* / Q000401:mortality; D006801:Humans; D008297:Male; D008875:Middle Aged; D015427:Reperfusion Injury / Q000517:prevention & control; D012189:Retrospective Studies; D016896:Treatment Outcome