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The Annals of Thoracic Surgery, Vol 51, 1023-1025, Copyright © 1991 by The Society of Thoracic Surgeons

ARTICLES

Technique and pitfalls of retrograde continuous warm blood cardioplegia

TA Salerno, GT Christakis, J Abel, J Houck, CA Barrozo, SE Fremes, RJ Cusimano and SV Lichtenstein
Division of Cardiovascular Surgery, St. Michael's Hospital, Toronto, Ontario, Canada.

The recent development of normothermic myocardial preservation and systemic perfusion during bypass has questioned the fundamental need for hypothermia during cardiac operations. The antegrade technique of almost continuous perfusion by the aortic root and vein grafts has been supplemented by continuous normothermic blood cardioplegia through the coronary sinus. Recently, great interest has been shown in this technique. It is important to describe the method in detail along with its potential shortcomings and dangers. This communication describes the technical details, pitfalls, and shortcomings of retrograde continuous warm blood cardioplegia.

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