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Ann Thorac Surg 1994;58:1285-1286
© 1994 The Society of Thoracic Surgeons

Articles

Crystalloid potassium cardioplegia: Concepts and early studies

William A. Gay, Jr, MD*

Department of Cardiothoracic Surgery, Montefiore Medical Center, Albert Einstein College of Medicine, New York, New York, USA

* Address reprint requests to Dr Gay, Monteflore Medical Center, 111 210th St, New York, NY 10467-2490.

In spite of study findings that incriminated hyperkalemia as the toxic factor of cardioplegic solutions, the results of later experiments documented the safety and effectiveness of osmotically balanced hyperkalemic solutions in patients undergoing cardiac surgical procedures. The concepts of hyperkalemic cardioplegia and the early animal and clinical studies leading to its reintroduction as a useful adjunct in cardiac surgical procedures are referenced in this report.




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