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Ann Thorac Surg 1980;29:341-345
© 1980 The Society of Thoracic Surgeons


Articles

Thermographic Demonstration of Uneven Myocardial Cooling in Patients with Coronary Lesions

Rolf Ekroth, M.D., Håkan Berggren, M.D., Göran Südow, M.D., Josef Wojciechowski, M.D., Bo F. Zackrisson, M.D., Göran William-Olsson, M.D.*

Department of Thoracic and Cardiovascular Surgery, Department of Radiology, Sahlgrenska sjukhuset, Göteborg, Sweden

Accepted for publication September 27, 1979.

* Address reprint requests to Dr. William-Olsson, Department of Thoracic and Cardiovascular Surgery, Sahlgrenska sjukhuset, S-413 45 Göteborg, Sweden

Low temperature is an important factor in protecting the myocardium during an operation on the heart. This can be difficult to accomplish if the cold cardioplegic solution is hindered by occlusions or stenosis of the coronary arteries. We used thermography to study myocardial temperature during infusion of cold cardioplegic solution. Slow cooling was recorded distal to coronary stenosis or occlusions, thereby indicating insufficient protection of the myocardium in these areas.




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