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The Annals of Thoracic Surgery, Vol 47, 316-317, Copyright © 1989 by The Society of Thoracic Surgeons

ARTICLES

Cardioplegia delivery by combined aortic root and coronary sinus perfusion

T Kalmbach and JN Bhayana
State University of New York, Buffalo.

Retrograde coronary sinus perfusion for the administration of cardioplegic solutions has recently been the subject of renewed interest. A method is described for the administration of bolus antegrade cardioplegia followed by continuous retrograde coronary sinus perfusion, particularly for patients with left main artery disease, left main equivalent, or aortic root/aortic valve disease. Advantages of the technique are discussed, as well as its limitations and its use for myocardial preservation in heart transplantation.

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