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Ann Thorac Surg 1975;20:446-455
© 1975 The Society of Thoracic Surgeons

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Articles

Local Cardiac Hypothermia for Myocardial Protection During Correction of Congenital Heart Disease

From the Departments of Surgery, Harvard Medical School, Peter Bent Brigham Hospital, and Children's Hospital Medical Center, Boston, Mass.

^* Address reprint requests to Dr. Castaneda, Department of Cardiovascular Surgery, Children's Hospital Medical Center, 300 Longwood Ave., Boston, Mass. 02115

Eighty-eight operations for correction of intracardiac congenital heart defects were performed using local cardiac hypothermia for protection of the ischemic myocardium. Twenty-six patients underwent repair of tetralogy of Fallot, 23 had patch closure of ventricular septal defect, 24 had correction of various types of congenital aortic stenosis, and 15 were operated upon for other complex lesions. The overall operative mortality was 5.6%. Ischemia times ranged from 9 to 119 minutes (mean, 48 minutes). Ischemic arrest protected by local cardiac hypothermia provides an optimal operative field, permitting repair of uncomplicated intracardiac defects in a precise, unhurried manner. No hemodynamic abnormalities attributable to the technique were encountered.

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