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The Annals of Thoracic Surgery, Vol 33, 521-522, Copyright © 1982 by The Society of Thoracic Surgeons

ARTICLES

Myocardial protection with cold cardioplegia in a patient with cold autoagglutinins and hemolysins

E Berreklouw, AC Moulijn, JG Pegels and NG Meijne

A technique is described for providing myocardial protection with cold potassium crystalloid cardioplegia in a patient with cold autoagglutinins and hemolysins. The patient was only mildly cooled systemically. The coronary system was perfused with a normothermic cardioplegic solution to remove the blood before the cold cardioplegia was started. The heart was rewarmed with a normothermic cardioplegic solution before the blood was reintroduced. With this technique, the patient underwent an uneventful coronary bypass operation.

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