ISSN : 1301-5680
e-ISSN : 2149-8156
TURKISH JOURNAL OF
THORACIC AND
CARDIOVASCULAR SURGERY
Turkish Journal of Thoracic and Cardiovascular Surgery     
The Role of The Contiuous Antegrade and Retrograde Oxygenated Warm Blood Cardioplegia in Myocardial Protection
Mehmet Salih BİLAL, Atıf AKÇEVİN, Halil TÜRKOĞLU, Osman BAYINDIR, Cihat BAKAY, Tayyar SARIOĞLU, Rüstem OLGA, Aydın AYTAÇ
İstanbul Üniversitesi Kardiyoloji Enstitüsü, Kalp - Damar Cerrahisi Anabilim Dalı, Haseki
In this study, we have compared the method of antegrade/retrograde continous warm blood cardioplegia and normothermic cardioplegia nad normothermic cardiopulmonary bypass (group I) (n=15) with antegrad cold crystalloid cardioplegia (group II) (n:15), in patients with ischemic heart disease with good or moderate left ventricular function. The heartbeat in all patients in group I converted to normal sinus rhythm spontaneously after removal of the aortic crossclamp compared with only 33% of the group II. There was no arrhythima, conduction disturbances and electrocardiographic ischemic changes in each group. Perioperative myocardial infarction was not seen in both groups. CPK and CPK-MD serum enzyme levels were similar statistically (p<0.05), but SGOT levels in group I were significantly less than group II (p<0.05) in postoperative 18. hours. Cardiac index and left ventricular stroke work index were significantly higher than before bypass in group I. Our results suggest that antegrade/retrograde continuous warm blood cardioplegia is a safe and effective method of myocardial protection. We prefer this method in patients who has higher operative risk and in the complex procedures.
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