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Ann Thorac Surg 1997;63:104
© 1997 The Society of Thoracic Surgeons

Invited Commentary

Invited Commentary

Philippe Menasché, MD, PhD

Department of Cardiovascular Surgery Hôspital Lariboisière 2, rue Ambroise Pare 75475 Paris Cedex 10 France

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

See also page 98.

This article brings a valuable contribution to our current knowledge of the effects of retrograde warm blood cardioplegia. Using a canine model of extended (3 hours) aortic cross-clamping during which myocardial protection was achieved either by intermittent cold or continuous warm retrograde blood cardioplegia, Kamlot and associates carefully describe changes in levels of high-energy phosphates and lactate occurring during arrest. The main finding is that adenosine triphosphate levels in the right ventricle are less well preserved in the warm cardioplegia group than in cold-protected dogs, whereas creatine phosphate demonstrates an opposite pattern. In addition, electron microscopic analysis . . . [Full Text of this Article]




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