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Myocardial Preservation

  • Bradley J. Harlan
  • Albert Starr
  • Fredric M. Harwin
Part of the Comprehensive Manuals of Surgical Specialties book series (CMSS)

Abstract

During the first decade of open heart surgery, operative mortality and morbidity resulted from technical errors, improper postoperative management, organ failure in systems other than the cardiovascular, depressed postoperative myocardial performance, and other factors. Experience has markedly improved the technical performance of cardiac surgery, diminishing technical factors as a major cause of mortality and morbidity. With increasing knowledge of the physiology of the postoperative cardiac patient and sophisticated monitoring technology, postoperative care is now scientific and effective. Refined techniques of cardiopulmonary bypass and improved oxygenators and other devices have almost eliminated organ failure in the pulmonary, renal, gastrointestinal, and neurologic systems. However, depressed postoperative myocardial performance remained the most common cause of operative mortality well into the second decade of open heart surgery. Postoperative myocardial failure was the sole cause of mortality in one report of mitral valve surgery.6

Keywords

Aortic Valve Replacement Coronary Perfusion Cardioplegic Solution Ischemic Contracture Myocardial Preservation 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag New York, Inc. 1980

Authors and Affiliations

  • Bradley J. Harlan
    • 1
  • Albert Starr
    • 1
  • Fredric M. Harwin
    • 2
  1. 1.Division of Cardiopulmonary SurgeryUniversity of Oregon Health Sciences CenterPortlandUSA
  2. 2.Medical IllustratorPortlandUSA

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