|
|
||||||||
Ann Thorac Surg 1982;34:647-658
© 1982 The Society of Thoracic Surgeons
From the Services de Chirurgie Cardio-vasculaire, Biophysique et Médecine Nucléaire et Anatomie Pathologique, Hôpital Lariboisière, Paris, France
* Address reprint requests to Dr. Menasché, Service de Chirurgie Cardio-vasculaire, Hôpital Lariboisière, 2, rue Ambroise Paré, 75475 Paris Cedex 10, France
During aortic valve surgery, cardioplegic solution is delivered through direct cannulation of both coronary ostia. Since this approach may cause an intimal injury leading to acute dissection or late ostial stenosis, we have evaluated retrograde coronary sinus perfusion (RCSP) as a means of delivering cardioplegia in 12 patients undergoing aortic valve replacement. The retroperfusion of the cardioplegic solution was performed with a balloon-tipped catheter inserted into the coronary sinus through the right atrium. The perfusion pressure averaged 40 mm Hg. Twelve patients undergoing antegrade coronary perfusion served as controls. Both groups were matched for preoperative and intraoperative data. The postoperative evaluation focused on hemodynamic status, as evidenced by serial measurements of right-sided pressures and cardiac output at 1, 6, 12, 18, and 24 hours after operation. The stroke volume index and the left ventricular and right ventricular systolic stroke work indexes were then calculated. There was no statistically significant difference between the two groups. We conclude that RCSP is a simple, safe, and effective means of cardioplegic protection during aortic valve surgery.
This article has been cited by other articles:
![]() |
J. Wang, H. Liu, T. A. Salerno, B. Tomanek, R. Summers, R. Deslauriers, R. C. Arora, and G. Tian Alternate antegrade/retrograde perfusion: an effective technique to preserve hypertrophied hearts during valvular surgery Eur J Cardiothorac Surg, January 1, 2009; 35(1): 69 - 76. [Abstract] [Full Text] [PDF] |
||||
![]() |
T. Siminiak and J. Lipiecki Trans-Coronary-Venous Interventions Circ Cardiovasc Interv, October 1, 2008; 1(2): 134 - 142. [Abstract] [Full Text] [PDF] |
||||
![]() |
G. V. Gonzalez-Stawinski and B. W. Lytle Coronary Artery Reoperations Card. Surg. Adult, January 1, 2008; 3(2008): 711 - 732. [Full Text] |
||||
![]() |
J. Wang, H. Liu, T. A. Salerno, B. Xiang, G. Li, M. Gruwel, M. Jackson, D. Manley, B. Tomanek, R. Deslauriers, et al. Does Normothermic Normokalemic Simultaneous Antegrade/Retrograde Perfusion Improve Myocardial Oxygenation and Energy Metabolism for Hypertrophied Hearts? Ann. Thorac. Surg., May 1, 2007; 83(5): 1751 - 1758. [Abstract] [Full Text] [PDF] |
||||
![]() |
T. Vahasilta, A. Saraste, V. Kyto, M. Malmberg, J. Kiss, E. Kentala, M. Kallajoki, and T. Savunen Cardiomyocyte Apoptosis After Antegrade and Retrograde Cardioplegia Ann. Thorac. Surg., December 1, 2005; 80(6): 2229 - 2234. [Abstract] [Full Text] [PDF] |
||||
![]() |
T. Doenst Direct cannulation of the coronary ostia MMCTS, January 1, 2005; 2005(0809): mmcts.2004.000703 - mmcts.2004.000703. [Abstract] [Full Text] [PDF] |
||||
![]() |
J. B. Pillai, T. M. Pillay, and J. Ahmad Coronary Ostial Stenosis After Aortic Valve Replacement, Revisited Ann. Thorac. Surg., December 1, 2004; 78(6): 2169 - 2171. [Abstract] [Full Text] [PDF] |
||||
![]() |
B. W. Lytle Coronary Artery Reoperations Card. Surg. Adult, January 1, 2003; 2(2003): 659 - 679. [Full Text] |
||||
![]() |
M. Murtra The adventure of cardiac surgery Eur J Cardiothorac Surg, February 1, 2002; 21(2): 167 - 180. [Full Text] [PDF] |
||||
![]() |
M. Kurusz, M. K Girouard, and P. S Brown Jr Coronary sinus rupture with retrograde cardioplegia Perfusion, January 1, 2002; 17(1): 77 - 80. [Abstract] [PDF] |
||||
![]() |
E. Meisel, D. Pfeiffer, L. Engelmann, J. Tebbenjohanns, B. Schubert, S. Hahn, E. Fleck, and C. Butter Investigation of Coronary Venous Anatomy by Retrograde Venography in Patients With Malignant Ventricular Tachycardia Circulation, July 24, 2001; 104(4): 442 - 447. [Abstract] [Full Text] [PDF] |
||||
![]() |
K. J Taft, A. H Stammers, C. C Jones, M. S Dickes, M. L Pierce, and D. J Beck Cardioplegia flow dynamics in an in vitro model Perfusion, September 1, 1999; 14(5): 341 - 349. [Abstract] [PDF] |
||||
![]() |
I. M. Plotkin, C. D. Collard, S. F. Aranki, R. J. Rizzo, and S. K. Shernan Percutaneous coronary sinus cannulation guided by transesophageal echocardiography Ann. Thorac. Surg., December 1, 1998; 66(6): 2085 - 2087. [Abstract] [Full Text] [PDF] |
||||
![]() |
T. A Abdel Aziz, N. Al Khaja, M. A Ali, A. S Maklad, M. F Bassiouny, M. Turner, and D. G Roberts Antegrade-Retrograde Cardioplegia for Myocardial Protection During Coronary Artery Bypass Graft Surgery Asian Cardiovasc Thorac Ann, September 1, 1998; 6(3): 188 - 194. [Abstract] [Full Text] [PDF] |
||||
![]() |
D. A. Dean, C.-X. Jia, S. E. Cabreriza, P. F. Soto, D. G. Rabkin, M. J. Sardo, N. Chalik, and H. M. Spotnitz Retrograde Coronary Perfusion: Effects on Iatrogenic Edema and Diastolic Properties Ann. Thorac. Surg., February 1, 1998; 65(2): 449 - 453. [Abstract] [Full Text] [PDF] |
||||
![]() |
G. Tian, J. Shen, S. Su, J. Sun, B. Xiang, G. I. Oriaku, J. K. Saunders, T. A. Salerno, and R. Deslauriers ASSESSMENT OF RETROGRADE CARDIOPLEGIA WITH MAGNETIC RESONANCE IMAGING AND LOCALIZED 31P SPECTROSCOPY IN ISOLATED PIG HEARTS J. Thorac. Cardiovasc. Surg., July 1, 1997; 114(1): 109 - 116. [Abstract] [Full Text] |
||||
![]() |
A. Farge, E. Mousseaux, C. Acar, M. Portoghese, A. Ramsheyi, C. Brizard, B. Beyssen, J.-P. Lassau, J.-C. Gaux, and A. Carpentier ANGIOGRAPHIC AND ELECTRON-BEAM COMPUTED TOMOGRAPHY STUDIES OF RETROGRADE CARDIOPLEGIA VIA THE CORONARY SINUS J. Thorac. Cardiovasc. Surg., October 1, 1996; 112(4): 1046 - 1053. [Abstract] [Full Text] |
||||
![]() |
M. Galinanes, V. Argano, and D. J. Hearse Can Ischemic Preconditioning Ensure Optimal Myocardial Protection When Delivery of Cardioplegia Is Impaired? Circulation, November 1, 1995; 92(9): 389 - 394. [Abstract] [Full Text] |
||||
![]() |
A. R. Cordell Milestones in the development of cardioplegia Ann. Thorac. Surg., September 1, 1995; 60(3): 793 - 796. [Abstract] [PDF] |
||||
![]() |
R. C. Elkins Congenital aortic valve disease: Evolving management Ann. Thorac. Surg., February 1, 1995; 59(2): 269 - 274. [PDF] |
||||
![]() |
A. L. Panos, I. S. Ali, P. L. Birnbaum, C. A. M. Barrozo, O. Al-Nowaiser, and T. A. Salerno Coronary sinus injuries during retrograde continuous normothermic blood cardioplegia Ann. Thorac. Surg., December 1, 1992; 54(6): 1137 - 1138. [Abstract] [PDF] |
||||
![]() |
T. Zombolas, H. Mohamed, and N. Cavarocchi Retrograde coronary sinus perfusion: pressure monitoring Perfusion, October 1, 1992; 7(4): 291 - 294. [PDF] |
||||
![]() |
E. Charles Douville, J. M. Kratz, F. G. Spinale, F. A. Crawford, C. C. Alpert, and A. Pearce Retrograde versus antegrade cardioplegia: Impact on right ventricular function Ann. Thorac. Surg., July 1, 1992; 54(1): 56 - 61. [Abstract] [PDF] |
||||
![]() |
K. V. Arom and R. W. Emery Coronary sinus cardioplegia: Clinical trial with only retrograde approach Ann. Thorac. Surg., June 1, 1992; 53(6): 965 - 971. [Abstract] [PDF] |
||||
![]() |
A. Lessana, M. Romano, A. I. Singh, D. L. Houerou, V. Martin, B. Jegier, E. Palsky, H. Q. Yu, E. Belli, C. Carbone, et al. Beyond cold cardioplegia Ann. Thorac. Surg., April 1, 1992; 53(4): 666 - 669. [Abstract] [PDF] |
||||
![]() |
J. Eng and C. Munsch Retrograde cardioplegia Perfusion, January 1, 1992; 7(1): 7 - 12. [PDF] |
||||
![]() |
H. B. Barner Blood cardioplegia: A review and comparison with crystalloid cardioplegia Ann. Thorac. Surg., December 1, 1991; 52(6): 1354 - 1367. [Abstract] [PDF] |
||||
![]() |
C. H. Bahn Simplified placement of retrograde cardioplegic catheter Ann. Thorac. Surg., October 1, 1991; 52(4): 879 - 880. [Abstract] [PDF] |
||||
![]() |
H. L. Lazar, S. Rivers, M. Cambrils, S. Bernard, and R. J. Shemin Continuous versus intermittent cardioplegia in the presence of a coronary occlusion Ann. Thorac. Surg., October 1, 1991; 52(4): 913 - 917. [Abstract] [PDF] |
||||
![]() |
C. Haan, H. L. Lazar, S. Bernard, S. Rivers, J. Zallnick, and R. J. Shemin Superiority of retrograde cardioplegia after acute coronary occlusion Ann. Thorac. Surg., March 1, 1991; 51(3): 408 - 412. [Abstract] [PDF] |
||||
![]() |
R. M. Engelman Retrograde continuous warm blood cardioplegia Ann. Thorac. Surg., February 1, 1991; 51(2): 180 - 181. [PDF] |
||||
![]() |
S. R. Gundry, A. Sequiera, A. M. Razzouk, J. S. McLaughlin, and L. L. Bailey Facile retrograde cardioplegia: Transatrial cannulation of the coronary sinus Ann. Thorac. Surg., December 1, 1990; 50(6): 882 - 887. [Abstract] [PDF] |
||||
![]() |
K. Yonenaga, H. Yasui, H. Kado, Y. Nakamura, Y. Shiokawa, T. Yamamoto, and K. Miyamoto Myocardial protection by retrograde cardioplegia in arterial switch operation Ann. Thorac. Surg., August 1, 1990; 50(2): 238 - 242. [Abstract] [PDF] |
||||
![]() |
P. Menasche, J.-B. Subayi, and A. Piwnica Retrograde coronary sinus cardioplegia for aortic valve operations: A clinical report on 500 patients Ann. Thorac. Surg., April 1, 1990; 49(4): 556 - 564. [Abstract] [PDF] |
||||
![]() |
K. H. Teoh, J. Ivanov, R. D. Weisel, and The Cardiovascular Surgeons at the Toronto General Determinants of survival and valve failure after mitral valve replacement Ann. Thorac. Surg., April 1, 1990; 49(4): 643 - 648. [Abstract] [PDF] |
||||
![]() |
H. E. Snyder, W. Smithwick III, J. T. Wingard, and R. C. Agnew Retrograde Coronary Sinus Perfusion Ann. Thorac. Surg., October 1, 1988; 46(4): 389 - 390. [Abstract] [PDF] |
||||
![]() |
H. L. Lazar Coronary Sinus Interventions during Cardiac Surgery Ann. Thorac. Surg., October 1, 1988; 46(4): 475 - 482. [Abstract] [PDF] |
||||
![]() |
G. D. Buckberg Antegrade Cardioplegia, Retrograde Cardioplegia, or Both? Ann. Thorac. Surg., June 1, 1988; 45(6): 589 - 590. [PDF] |
||||
![]() |
J. T. Diehl, E. J. Eichhorn, M. A. Konstam, D. D. Payne, A. R. Dresdale, R. M. Bojar, H. Rastegar, J. J. Stetz, D. N. Salem, R. J. Connolly, et al. Efficacy of Retrograde Coronary Sinus Cardioplegia in Patients Undergoing Myocardial Revascularization: A Prospective Randomized Trial Ann. Thorac. Surg., June 1, 1988; 45(6): 595 - 602. [Abstract] [PDF] |
||||
![]() |
S. Levitsky Myocardial Protection Ann. Thorac. Surg., September 1, 1987; 44(3): 328 - 329. [PDF] |
||||
![]() |
P. Menasche and A. Piwnica Retrograde Cardioplegia Through the Coronary Sinus Ann. Thorac. Surg., August 1, 1987; 44(2): 214 - 216. [Abstract] [PDF] |
||||
![]() |
K. H. Teoh, G. T. Christakis, R. D. Weisel, C. P. Tong, L. L. Mickleborough, H. E. Scully, B. S. Goldman, and R. J. Baird The Determinants of Mortality and Morbidity after Multiple-Valve Operations Ann. Thorac. Surg., April 1, 1987; 43(4): 353 - 358. [Abstract] [PDF] |
||||
![]() |
N. Shapira, G. M. Lemole, P. M. Spagna, F. J. Bonner, J. Fernandez, and D. Morse Antegrade and Retrograde Infusion of Cardioplegia: Assessment by Thermovision Ann. Thorac. Surg., January 1, 1987; 43(1): 92 - 97. [Abstract] [PDF] |
||||
![]() |
P. J. Horneffer, V. L. Gott, and T. J. Gardner Retrograde Coronary Sinus Perfusion Prevents Infarct Extension during Intraoperative Global Ischemic Arrest Ann. Thorac. Surg., August 1, 1986; 42(2): 139 - 142. [Abstract] [PDF] |
||||
![]() |
K. Shiki, M. Masuda, K. Yonenaga, T. Asou, and K. Tokunaga Myocardial Distribution of Retrograde Flow through the Coronary Sinus of the Excised Normal Canine Heart Ann. Thorac. Surg., March 1, 1986; 41(3): 265 - 271. [Abstract] [PDF] |
||||
![]() |
J.-N. Fabiani, A. Deloche, J. Swanson, and A. Carpentier Retrograde Cardioplegia through the Right Atrium Ann. Thorac. Surg., January 1, 1986; 41(1): 101 - 102. [Abstract] [PDF] |
||||
![]() |
S. R. Gundry and M. M. Kirsh A Comparison of Retrograde Cardioplegia Versus Antegrade Cardioplegia in the Presence of Coronary Artery Obstruction Ann. Thorac. Surg., August 1, 1984; 38(2): 124 - 127. [Abstract] [PDF] |
||||
![]() |
R. C.-J. Chiu Coronary Artery Stenosis after Aortic Valve Replacement Ann. Thorac. Surg., May 1, 1984; 37(5): 439 - 439. [PDF] |
||||
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |