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Arrigo Lessana
Mauro Romano
Ajoy I. Singh
Bogdan Jegier
Hong Quan Yu
Emre Belli
Carmine Carbone
Giorgio Noera
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Ann Thorac Surg 1992;53:666-669
© 1992 The Society of Thoracic Surgeons

Articles

Beyond cold cardioplegia

Arrigo Lessana, MD*, Mauro Romano, MD, Ajoy I. Singh, MCh, Daniel Le Houerou, MD, Victor Martin, MD, Bogdan Jegier, MD, Evelyne Palsky, MD, Hong Quan Yu, MD, Emre Belli, MD, Carmine Carbone, MD, Giorgio Noera, MD, Alain Ruffenach, MD

Department of Cardiovascular Surgery, Hopital Europeen de Paris "La Roseraie," Paris, France

Accepted for publication September 27, 1991.

* Address reprint requests to Dr Lessana, Department of Cardiovascular Surgery, Hopital Europeen de Paris "La Roseraie," 120 Ave de la République, 93300 Aubervilliers, Paris, France.

One hundred fifteen consecutive patients were operated on for myocardial revascularization or valvular disease or both with continuous antegrade and retrograde aerobic warm (37 °C) blood cardioplegia. Mean cross-clamp time was 56.3 ± 21 minutes (± standard deviation). Mean reperfusion time was 18.4 ± 11.8 minutes (range, 5 to 81 minutes). Five patients (4.3%) died, and 15 (13%) needed inotropic support. Two (1.7%) required intraaortic balloon support. Two patients (1.7%) had evidence of perioperative myocardial infarction, and 98 (85%) returned spontaneously to normal sinus rhythm. Sixteen patients had a cross-clamp time greater than 80 minutes. All 16 of them had an uneventful postoperative course except for 1 patient who required inotropic drugs. This method of myocardial protection is now used for all open heart procedures in our institution.




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