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


     

Ann Thorac Surg 2008;86:2005-2007. doi:10.1016/j.athoracsur.2008.05.012
© 2008 The Society of Thoracic Surgeons
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
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):
Panagiotis Dedeilias
Nikolaos Tsilimingas
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Kouerinis, I. A.
Right arrow Articles by Tsilimingas, N.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Kouerinis, I. A.
Right arrow Articles by Tsilimingas, N.
Related Collections
Right arrow Myocardial protection

How To Do It

"Directed" Cardioplegia: A New Approach in Myocardial Protection in Left Main Coronary Artery Disease

Ilias A. Kouerinis, MD, PhDa,b,*, Marina M. Palaiologou, PhDa, Michalis Argiriou, MDb, Panagiotis Dedeilias, MDb, Efstratios Apostolakis, MD, PhDb, Aikaterini Giannakopoulou, MDa, George Papadopoulos, MD, PhDa, Nikolaos Tsilimingas, MD, PhDc

a Department of Cardiac Surgery, Aghia Sophia Hospital, Athens, Greece
b Department of Cardiac Surgery, Evangelismos Hospital, Athens, Greece
c Department of Thoracic and Cardiovascular Surgery, University of Thessalia, Larissa, Greece

Accepted for publication May 5, 2008.

* Address correspondence to Dr Kouerinis, Doukissis Plakentias 46, Athens, 15127, Greece (Email: ikouerinis{at}hotmail.com).

"Directed cardioplegia" is a novel approach in myocardial protection in which a certain volume of cardioplegic solution is diverted into a severely diseased coronary artery after surgical occlusion of the other main branches that can be accessed by the surgeon. In this way, the surgeon is able to eliminate the cardioplegic steal from a severely stenosed vessel through other less severely diseased and/or patent arteries during the nonselective antegrade administration of cardioplegia and to protect myocardial regions, which are poorly perfused. We performed this new technique in 2 patients with severe left main coronary artery disease with excellent results.






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 © 2008 by The Society of Thoracic Surgeons.