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Ann Thorac Surg 1989;47:316-317
© 1989 The Society of Thoracic Surgeons

Articles

Cardioplegia delivery by combined aortic root and coronary sinus perfusion

Thomas Kalmbach, MD, Joginder N. Bhayana, MD*

State University of New York at Buffalo and Buffalo General Hospital, Buffalo, New York, USA

Accepted for publication September 29, 1988.

* Address reprint requests to Dr Bhayana, Buffalo General Hospital, 100 High St, Buffalo, NY 14203.

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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