Mindich B P, Jurado R A, Estioko M R, Litwak R S
Ann Thorac Surg. 1981 Feb;31(2):188-90. doi: 10.1016/s0003-4975(10)61541-x.
In patients undergoing coronary artery bypass grafting (CABG), use of hypothermic cardioplegia for myocardial protection may not always achieve even cooling in the areas distal to a severely obstructed artery. Employing simultaneous myocardial temperature measurements, we documented "warm" areas in some patients having CABG. We then devised a technique of combined aortic root and intracoronary cardioplegic infusion. This has achieved prompt cooling of the warm areas and has resulted in uniform myocardial temperatures of 5 degrees to 8 degrees C.
在接受冠状动脉旁路移植术（CABG）的患者中，使用低温心脏停搏液进行心肌保护时，在严重阻塞动脉远端的区域可能并不总能实现均匀降温。通过同步测量心肌温度，我们记录了一些接受CABG患者存在“温暖”区域的情况。随后，我们设计了一种主动脉根部和冠状动脉内心脏停搏液联合灌注技术。这已使温暖区域迅速降温，并使心肌温度均匀维持在5摄氏度至8摄氏度。
