ISSN : 1301-5680
e-ISSN : 2149-8156
TURKISH JOURNAL OF
THORACIC AND
CARDIOVASCULAR SURGERY
Turkish Journal of Thoracic and Cardiovascular Surgery     
Use of Ascorbic Acid in Open Heart Surgery as an Oxygen Free Radical Scavenger
Ergun SALMAN, Mehmet BAYRAKTAROĞLU, Orhan Veli DOĞAN, Yavuz YÖRÜKOĞLU, Ertan YÜCEL, *Şebnem KÖSEBALABAN, **Nazmi ÖZER
SSK Ankara Hastanesi Kalp Damar Cerrahisi Kliniği,
*SSK Ankara Hastanesi Biyokimya Bölümü
**Hacettepe Üniversitesi Tıp Fakültesi Biyokimya ABD Başkanı
In order to investigate oxygen free radical scavenging effect of the ascorbic acid (vitamin C), two groups of patients were formed in whom valve surgery planned. In the study group (Group I) high doses of ascorbic acid (15 gr) were administered via IV route during induction of anesthesia. Control group (Group II) did not receive ascorbic acid. During cardiopulmonary bypass systemic hypothermia (28°C), topical hypothermia, and cold intermittant crystalloid cardioplegia (10 ml/kg initially, then 5 ml/kg repeated every 30 minutes) was applied. Mean aortic cross clamp times were similar (Group I:71.8±3.7 min, Group II:73.5±5.2 min, p<0.05) and never less than 30 minutes. Blood samples for biochemical study (lactate, CPK-MB, uric acid, glutathion, vitamin E, malondialdehyde measurements) were taken 1 min, 5 min, 15 min after declamping of the aorta and 15 min after the termination of cardiopulmonary bypass. Hemodynamic measurements of patients (heart rate, cardiac index, systemic vascular resistance, left ventricular stroke work index) were recorded before cardiopulmonary bypass, 15 min, 2 hr, 4 hr, 6 hr, 9 hr, 12 hr, 24 hr after termination of cardiopulmonery bypass. Results of biochemical analysis supported the effect of ascorbic acid as an oxygen difference between two groups. This is tought to be related to the factors which were non uniformly distributed in both groups (pulmonary hypertension, positive inotropic, preload, afterload reducing medications) directly effecting the hemodynamic condition.
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