A comparative assessment of the myocardium protection by methods of blood and crystalloid cardioplegia in patients with high risk of coronary bypass grafting operation

• Published in: Vestnik hirurgii im. I.I. Grekova Vol. 161; no. 5; p. 19
• Main Authors: Khudonogova, S V, Kurapeev, I S, Naĭmushin, A V, Gordeev, M L
• Format: Journal Article
• Language: Russian
• Published: Russia (Federation) 2002
• Subjects: Anthropometry; Cardiac Surgical Procedures - methods; Extracorporeal Circulation - instrumentation; Female; Heart Aneurysm - surgery; Heart Arrest, Induced - methods; Humans; Hypothermia, Induced - methods; Male; Middle Aged; Myocardial Ischemia - surgery; Myocardial Ischemia - therapy; Myocardial Reperfusion - methods; Potassium Compounds - therapeutic use; Risk Factors; Severity of Illness Index
• ISSN: 0042-4625

A comparative assessment of specific features of the intraoperative and early postoperative periods was made using antegrade blood and crystalloid cardioplegia during coronary artery bypass grafting operation in 100 patients with ischemic heart disease with a fraction of expulsion of the left ventricle of the heart < 0.5. Using the blood cardioplegia has allowed the need in inotropic support to be lowered at the isolated coronary artery bypass from 29.7% to 11.8%, and at a combination with the resection of the left ventricular aneurysm from 66.7% to 36.4% respectively in the control and main groups. The results obtained suggest that the proposed technique of blood cardioplagia has essential advantages over crystalloid cardioplegia in the coronary shunting of patients with a severe and complicated course of ischemic heart disease.