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Ann Thorac Surg 1995;59:802-803
© 1995 The Society of Thoracic Surgeons


Invited Commentary

INVITED COMMENTARY

Philippe Menasché, MD, PhD

Department of Cardiovascular Surgery Hopital Lariboisiere 2, rue Ambroise Pare 75010 Paris, France

The first 20% of the full text of this article appears below.

See also page 795.

This article demonstrates, with the use of sophisticated hemodynamic end points, that warm continuous retrograde blood cardioplegia provides poor protection, compared with the more conventional cold antegrade technique, in a canine model of cardioplegic arrest superimposed on a previous episode of normothermic unprotected global ischemia. Van Camp and associates logically conclude that their data ``dictate cautious use of warm retrograde cardioplegia in the setting of acute ischemia.'' I think that the interpretation of this conclusion should be equally cautious because two major features of the experimental design seriously limit the clinical relevance of this study.

First, the dogs were anemic, as reflected by an . . . [Full Text of this Article]


Related Article

Functional Recovery After Ischemia: Warm Versus Cold Cardioplegia
Joseph R. Van Camp, Louis A. Brunsting, III, Keith F. Childs, and Steven F. Bolling
Ann. Thorac. Surg. 1995 59: 795-802. [Abstract] [Full Text]






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