Either on pump beating or cold blood cardioplegic
arrest technique was used for myocardial protection in these patients.
CABG surgery was carried out under cardiopulmonary bypass (CPB), hypothermia at 30-32[degrees]C, and cardioplegic
arrest by antegrade and retrograde multi-dose cold blood cardioplegia to achieve myocardial protection during the aortic cross-clamp.
Current pilot studies are focused on devices that repair mitral valve percutaneously or transapicaly (33, 35, 47) without the need of extracorporal circulation and cardioplegic
cardiac arrest (8).
Remote ischemic preconditioning reduces myocardial injury after coronary artery bypass surgery with crystalloid cardioplegic
solution (Bretschneider's solution, Custodiol) was infused through the coronary ostia.
Myocardial protection was obtained in all cases with retrograde delivery of cold blood cardioplegic
The antegrade cardioplegic
solution was infused through the ascending aorta with temporary occlusion of the ALCAPA orifice.
During CPB, aortic cross-clamping is a normal procedure to allow cardioplegic
solution to enter the coronary arteries to arrest the heart.
The operations were performed through a median sternotomy with the use of cardiopulmonary bypass, mild hypothermia, and cardioplegic
arrest abolishes the squeezing effect of heart contraction on coronary microvasculature and further compromises coronary blood perfusion.
Fraga et al., "Relationship between oxidative stress, lipid peroxidation, and ultrastructural damage in patients with coronary artery disease undergoing cardioplegic
arrest/reperfusion," Cardiovascular Research, vol.