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Continuous normothermic blood cardioplegia: Initial experience

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Abstract

The concept of continuous normothermic blood cardioplegia has been developed on the principles of electromechanical arrest and normothermic aerobic perfusion. This method appears to be a safer alternative to current methods of hypothermic myocardial protection. We report our experience with the use of continuous normothermic blood cardioplegia in twenty patients who underwent cardiac surgery. The analysis of results included cardiopulmonary bypass events, potassium kinetics, recovery rhythm, need for cardioversion and inotropes, and reperfusion time. From the initial results, it appears that the technique of normothermic cardioplegia is reproducible and safe. Its advantage lies in the shorter reperfusion periods and it has a potential to become the first choice method of myocardial protection in procedures involving long cross-clamp periods.

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Authors and Affiliations

  1. Department of Cardiothoracic Surgery, Nizam’s Institute of Medical Sciences, 500 482, Hyderabad, India

    P. Sita Rama Rao (Associate Professor), K. Venkat Reddy, T. Suhasini, A. Sarath Chandra, K. Madhusudhan Rao & P. V. Satyhanarayana

Authors
  1. P. Sita Rama Rao
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  2. K. Venkat Reddy
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  3. T. Suhasini
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  4. A. Sarath Chandra
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  5. K. Madhusudhan Rao
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  6. P. V. Satyhanarayana
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Sita Rama Rao, P., Venkat Reddy, K., Suhasini, T. et al. Continuous normothermic blood cardioplegia: Initial experience. Indian J Thorac Cardiovasc Surg 8, 56–59 (1992). https://doi.org/10.1007/BF02664126

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  • DOI: https://doi.org/10.1007/BF02664126

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