Ultrastructure of the Human Myocardium after Intermittent Ischemia Compared to Cardioplegia

  • G. Görlach
  • H. H. Scheld
  • J. Mulch
  • J. Schaper
  • F. W. Hehrlein
Part of the Advances in Experimental Medicine and Biology book series (AEMB, volume 194)


Despite of many reports about the detrimental effects of intermittend ischemia induced by ventricular fibrillation as a method of myocardial protection this method is still used during coronary surgery (1, 2, 3, 4, 5, 6). The proponents of this method argue that the duration of ischemia is shorter than during cardioplegic arrest (7) and that this method is as safe as cardioplegic arrest (8, 9). In our study we compared myocardial protection due to cardioplegic arrest and intermittend ischemia during coronary surgery. The quality of myocardial protection was estimated by electronmicroscopic studies of myocardial biopsies taken from patients during coronary surgery.


Ventricular Fibrillation Myocardial Protection Myocardial Biopsy Cardioplegic Arrest Coronary Surgery 
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Copyright information

© Plenum Press, New York 1986

Authors and Affiliations

  • G. Görlach
    • 1
  • H. H. Scheld
    • 1
  • J. Mulch
    • 1
  • J. Schaper
    • 2
  • F. W. Hehrlein
    • 1
  1. 1.Dept. of Cardiovascular SurgeryJustus-Liebig UniversityGiessenW.-Germany
  2. 2.Dept. of Experimental CardiologyMax-Planck-Institute for Physiological and Clinical ResearchBad NauheimW.-Germany

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