The Value of Combined Cardioplegia in Prevention of Conduction Disturbances  after Coronary Artery Bypass Grafting

The Value of Combined Cardioplegia in Prevention of Conduction Disturbances after Coronary Artery Bypass Grafting

Münacettin CEVİZ, Hikmet KOÇAK, Ahmet BAŞOĞLU, Mustafa CERRAHOĞLU, Azman ATEŞ, İbrahim YEKELER, Mustafa ABANOZ, Aylin ÇAPAN, *Sebahattin ATEŞAL

Atatürk Üniversitesi Tıp Fakültesi Göğüs Kalp Damar Cerrahisi ABD,
^*Atatürk Üniversitesi Tıp Fakültesi Kardiyoloji ABD

The incidence rate for conduction distubances that appear after coronary artery bypass grafting (CABG) is 4-34%. In patients who have deficiency of first septal artery (FSA) perfusion, this rate ranges between 25-55%.This study was carried on 64 CABG patients in hastyear, at The Department of Thoracic and Cardiovascular Surgery , The Faculty of Medicine, Atatürk University. The patients were classified as to Mosseri et alsFSA pathology. The patients were divided into two groups as group I: non-deficiency of FSA perfusion an group II: deficiency of FSA perfusion. Cardioplegiu was used combinely.Although high conduction disturbance rates were expected in Group II patients, only 4.3% appeared (p<0.05).It was thought that this reduced rate was dependant of well protection of myocardium by combined cardioplegia.

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