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The Annals of Thoracic Surgery, Vol 52, 1354-1367, Copyright © 1991 by The Society of Thoracic Surgeons
HB Barner
The Oxford International Symposium on myocardial preservation provided an
appropriate milestone and impetus to survey one aspect of operative
myocardial preservation, namely blood cardioplegia, and to contrast it with
the more popular crystalloid cardioplegia. This review is by no means
complete or exhaustive but represents my best effort to summarize important
information that has accumulated in the literature as blood cardioplegia,
and our understanding of it, has evolved. It is appropriate to compare
blood and crystalloid cardioplegia with respect to biochemical and
physiological differences. Clinical comparison has been limited, for the
most part, to randomized studies, and a number of differences and details
of clinical management of the two techniques have been omitted, either
because they seemed unimportant or there was no good information that would
allow an objective comparison of their significance. Hopefully, the reader
will recognize the intent to focus on meaningful differences and
similarities between the two techniques and to present them fairly.
ARTICLES
Blood cardioplegia: a review and comparison with crystalloid cardioplegia
Heart Institute, Long Island Jewish Medical Center, New Hyde Park, NY 11042.
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