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- W1964480703 abstract "In a recent article in this Journal, Rudis, Gates, and Laks1Rudis E Gates N Laks H. Coronary sinus ostial occlusion during retrograde delivery of cardioplegic solution significantly improves cardioplegic distribution and efficacy.J THORAC CARDIOVASC SURG. 1995; 109: 941-947Abstract Full Text Full Text PDF PubMed Scopus (16) Google Scholar showed conclusively that retrograde coronary sinus perfusion solutions may be distributed unevenly and leave the right ventricle inadequately protected as a result. They corrected this inhomogeneity of perfusion by occluding the coronary ostium with a purse-string suture, thereby preventing reflux and decompression of coronary veins proximal to the self-inflating balloon. Most surgeons have probably noticed that the coronary veins closest to the coronary sinus ostium are often not fully distended during intermittent retrograde perfusion of cold cardioplegic solutions. Furthermore, the right ventricle remains relatively warm. However, when the ostium of the coronary sinus is occluded by digital compression (at the junction of the right atrium and inferior vena cava), all of the coronary veins become distended and the right ventricle becomes cold immediately. The rate of flow must usually be reduced to avoid excessive perfusion pressures to compensate for the elimination of reflux. Other technical strategies, such as double balloon catheters, may achieve the same purpose, but the method described here is safe, simple, and inexpensive, and it adds only 3 or 4 minutes to the average cardiopulmonary bypass time." @default.
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- W1964480703 date "1996-03-01" @default.
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- W1964480703 title "Improved distribution of retrograde cold cardioplegic solutions" @default.
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- W1964480703 doi "https://doi.org/10.1016/s0022-5223(96)70329-x" @default.
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