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Ann Thorac Surg 1982;33:521-522
© 1982 The Society of Thoracic Surgeons


Articles

Myocardial Protection with Cold Cardioplegia in a Patient with Cold Autoagglutinins and Hemolysins

E. Berreklouw, M.D.*, A.C. Moulijn, M.D., J.G. Pegels, M.D., N.G. Meijne, M.D.

From the Departments of Cardiothoracic Surgery and Hematology, Academic Hospital University of Amsterdam, Amsterdam, The Netherlands

Accepted for publication April 27, 1981.

* Address reprint requests to Dr. Berreklouw, Department of Cardiothoracic Surgery, Wilhelmina Gasthuis, le Helmersstraat 104, 1054 EG Amsterdam, The Netherlands

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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