Iavorovskiĭ A G, Kovalev S G, Belous A E
Anesteziol Reanimatol. 1993 Mar-Apr(2):19-21.
A universal system for the delivery of cardioplegia solutions has been described. The use of the system makes it possible to conduct all the kinds of cardioplegia, i. e. antegrade, retrograde, combined and shunt cardioplegia (the combination of the first and second types with the delivery of cardioplegia solutions via coronary anastomoses). The system is a distributor with six taps, each of them supplied by a cannula for the delivery of cardioplegia solution via autovenous shunts via the aortic root and coronary sinus. Besides, at the stage of lateral aorta clamping (during aortocoronary bypass surgery) the delivery of oxygenated blood from cardiopulmonary bypass apparatus to the respective myocardial segments via autovenous shunts is possible. The above system improves even distribution and cooling of various myocardial zones, especially in the area of affected coronary arteries and makes it possible to shorten the period of warm-induced ischemia of myocardial shunts.
已经描述了一种用于输送心脏停搏液的通用系统。该系统的使用使得进行所有类型的心脏停搏成为可能,即顺行性、逆行性、联合性和分流性心脏停搏(通过冠状动脉吻合口输送心脏停搏液,将第一种和第二种类型相结合)。该系统是一个带有六个龙头的分配器,每个龙头都由一根插管供应,用于通过主动脉根部和冠状窦的自体静脉分流输送心脏停搏液。此外,在主动脉侧壁钳夹阶段(在主动脉冠状动脉搭桥手术期间),可以通过自体静脉分流将来自体外循环装置的含氧血液输送到各个心肌节段。上述系统改善了各个心肌区域的均匀分布和冷却,特别是在受影响冠状动脉区域,并使得缩短心肌分流的热诱导缺血期成为可能。