Noyez L, van Son J A, Lacquet L K
Department of Thoracic and Cardiac Surgery, University Hospital Nijmegen St Radboud, The Netherlands.
Cardiovasc Surg. 1993 Dec;1(6):646-9.
Myocardial protection is the cornerstone of cardiac surgery especially in coronary reoperation, where the most striking problem is perioperative myocardial infarction. Use of retrograde delivery of cardioplegic solution may be preferable in coronary reoperation. Experience is described with retrograde cardioplegia in 48 reoperations for myocardial revascularization, and the advantages and limitations of this technique discussed.
心肌保护是心脏手术的基石,尤其是在再次冠状动脉手术中,其中最突出的问题是围手术期心肌梗死。在再次冠状动脉手术中,逆行灌注心脏停搏液可能更可取。本文描述了48例再次心肌血运重建手术中使用逆行心脏停搏液的经验,并讨论了该技术的优缺点。