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The Annals of Thoracic Surgery, Vol 41, 419-424, Copyright © 1986 by The Society of Thoracic Surgeons
JJ Stone, W Piccione Jr, LD Berrizbeitia, GR Dance, FJ Schoen, RJ Shemin and LH Cohn
Systemic perfusion, myocardial contractility, and morphological changes
during and after cardiopulmonary bypass (CPB) were investigated in 22
greyhounds; Fluosol-DA 20% (FDA) and normal saline (NaCl) were compared as
priming solutions for hypothermic (25 degrees C) CPB. Hemodynamic and
oxygenation indices were similar in all groups. Animals with fluorocarbon
primes had higher serum lactate concentrations (mean +/- standard error of
the mean [SEM]) during CPB (NaCl 1.64 +/- 0.2, FDA 2.39 +/- 0.3, p less
than 0.01), representing an increase over the control of 12% and 319% in
the NaCl and FDA groups, respectively. After CPB, serum lactate
concentration remained elevated in the FDA group, but it returned to the
level of the control in the NaCl group (NaCl 1.49 +/- 0.5, FDA 2.29 +/-
1.1, p less than 0.01); increases over the control level were 7% and 302%
in the NaCl and FDA groups, respectively. Myocardial contractility after
CPB, expressed as dP/dt[40], was similar in the two experimental groups.
Three weeks after CPB, a histological examination by light microscopy of
multiple organs obtained from a separate group of 12 animals treated
similarly was performed, demonstrating no significant morphological
differences between animals primed with fluorocarbon or with saline. The
results suggest that FDA is a satisfactory priming agent for hypothermic
CPB. It adequately preserves myocardial function and causes no adverse
morphological changes, but a persistent, as yet unexplained, elevation in
serum lactate concentration occurs.
ARTICLES
Hemodynamic, metabolic, and morphological effects of cardiopulmonary bypass with a fluorocarbon priming solution
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