ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Pat O. Daily
Walter P. Dembitsky
Ricardo J. Moreno-Cabral
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Daily, P. O.
Right arrow Articles by Moreno-Cabral, R. J.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Daily, P. O.
Right arrow Articles by Moreno-Cabral, R. J.

Ann Thorac Surg 1996;61:679-683
© 1996 The Society of Thoracic Surgeons

Original Article: Cardiovascular

Comparisons of Methods of Myocardial Hypothermia for Cardiac Transplantation

Pat O. Daily, MD, Robert M. Adamson, MD, Barbara H. Jones, RN, Walter P. Dembitsky, MD, Ricardo J. Moreno-Cabral, MD

Sharp Memorial Hospital, San Diego, California

Accepted for publication October 16, 1995.

Background. Myocardial hypothermia of less than 10°C is an essential component of preservation of donor hearts before implantation. Here we report temperature changes and comparison of methods for maintenance of myocardial hypothermia during implantation.

Methods. Twenty patients were prospectively randomized into two equal groups. In one cohort myocardial hypothermia was maintained by the ``Stanford method'' of continuous lavage of the pericardium and left atrium with refrigerated saline solution. In the other a cooling jacket was used without saline lavage. Temperatures at multiple sites were measured at 30-second intervals from initiation of cardiac suturing until aortic cross-clamp removal. Comparisons were made between groups at each temperature site.

Results. The cooling jacket group temperatures were significantly lower at the left ventricular epicardium and endocardium than those of the Stanford method group.

Conclusions. During cardiac implantation maintenance of myocardial hypothermia with a cooling jacket resulted in significantly deeper and more consistent hypothermia of the left ventricle than pericardial and left atrial lavage with refrigerated saline solution. Blood loss from aspirated saline lavage and perfusate dilution by the saline solution were eliminated.






HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 1996 by The Society of Thoracic Surgeons.