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Tomas A. Salerno
George T. Christakis
James Abel
James Houck
Carlos A.M. Barrozo
Stephen E. Fremes
Robert J. Cusimano
Samuel V. Lichtenstein
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Ann Thorac Surg 1991;51:1023-1025
© 1991 The Society of Thoracic Surgeons


Articles

Technique and pitfalls of retrograde continuous warm blood cardioplegia

Tomas A. Salerno, MD*, George T. Christakis, MD, James Abel, MD, James Houck, MD, Carlos A.M. Barrozo, MD, Stephen E. Fremes, MD, Robert J. Cusimano, MD, Samuel V. Lichtenstein, MD

Divisions of Cardiovascular Surgery, St. Michael's Hospital and the Sunnybrook Health Science Centre, University of Toronto, Toronto, Ontario, Canada

Accepted for publication March 20, 1991.

* Address reprint requests to Dr Salerno, St. Michael's Hospital, 30 Bond St, Toronto, Ont, Canada M5B 1W8.

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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