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Bruce P. Mindich
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Ann Thorac Surg 1981;31:188-190
© 1981 The Society of Thoracic Surgeons

Articles

Administering Cold Cardioplegia in Patients Undergoing Coronary Artery Bypass Grafting

Bruce P. Mindich, M.D.*, Roy A. Jurado, M.D., Manuel R. Estioko, M.D., Robert S. Litwak, M.D.

Division of Cardiothoracic Surgery, The Mount Sinai Medical Center, New York, NY

Accepted for publication February 22, 1980.

* Address reprint requests to Dr. Mindich, Division of Cardiothoracic Surgery, The Mount Sinai Medical Center, Fifth Ave and 100th St, New York, NY 10029

In patients undergoing coronary artery bypass grafting (CABG), use of hypothermic cardioplegia for myocardial protection may not always achieve even cooling in the areas distal to a severely obstructed artery. Employing simultaneous myocardial temperature measurements, we documented "warm" areas in some patients having CABG. We then devised a technique of combined aortic root and intracoronary cardioplegic infusion. This has achieved prompt cooling of the warm areas and has resulted in uniform myocardial temperatures of 5° to 8°C.




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