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Ann Thorac Surg 1977;23:154-155
© 1977 The Society of Thoracic Surgeons
Department of Surgery, State University of New York at Buffalo and the Buffalo General Hospital, Buffalo, NY.
Accepted for publication June 18, 1976.
* Address reprint requests to Dr. Siegel, Department of Surgery, Buffalo General Hospital, 100 High St, Buffalo, NY 14203.
A technique is described for selective intracavitary and coronary hypothermic perfusion during cardiac bypass with cardioplegia to facilitate cardiac operations. A cold perfusate (Plasmalyte 148 and mannitol, 12.5 gm/L at 8° to 10°C) is administered with the aid of a low-flow perfusion pump into the left ventricular cavity and coronary circulation through an apical perfusion-venting (Per-Vent) catheter. This perfusate cools the myocardium rapidly and homogeneously to a temperature of 15° to 20°C. Within this temperature range, complete cardioplegia occurs and the safe ischemia period can be extended to 120 minutes. This method was applied in 50 unselected consecutive adult patients undergoing aortocoronary saphenous vein bypass grafting or aortic or mitral valve replacement. All patients survived and had excellent recovery of ventricular function.
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