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Intermittent coronary perfusion

  • Chapter
Ischemia-reperfusion in cardiac surgery

Part of the book series: Developments in Cardiovascular Medicine ((DICM,volume 142))

Summary

Intermittent coronary perfusion with the use of global hypothermia is one of the oldest techniques in cardiac surgery to allow the management of congenital defects and acquired coronary, valvular or myocardial diseases. With the introduction and further developments of quite different aspects of cardioplegic myocardial preservation - and this development is not yet finished - the technique of intermittent coronary perfusion was more or less completely replaced by cardioplegic methods.

In our unit, intermittent coronary perfusion was used in combination with total body hypothermia and hemodilution since 1959, and performed especially for coronary revascularisations from 1970 until today. During the past 10 years, more and more cardiac centers reported their results using this simple, effective and safe technique for patients with sole coronary artery disease and coronary revascularisation.

In this chapter we describe the effects of hypothermia, our procedure for hypothermic extracorporeal circulation and the use of intermittent coronary aortic cross-clamping with ischemia and reperfusion, mainly in patients with the need of coronary artery revascularisation.

Whether the newly discussed aspects of warm cardiac surgery will be effective and safe enough need further experimental and clinical investigations for a final judgement.

This contribution is dedicated to

Prof. Dr. Wolfgang Bircks

since 1958 involved in the development and accurate performance of cardiovascular surgery and the establishment of a sufficient and effective care of patients with heart disease of all age groups.

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Authors
  1. Hagen D. Schulte
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Editor information

Editors and Affiliations

  1. Institute of Physiology, Heinrich-Heine-University, Düsseldorf, Germany

    Hans Michael Piper

  2. Department of Thoracic and Cardiovascular Surgery, Heinrich-Heine-University, Düsseldorf, Germany

    Claus J. Preusse

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© 1993 Springer Science+Business Media Dordrecht

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Schulte, H.D. (1993). Intermittent coronary perfusion. In: Piper, H.M., Preusse, C.J. (eds) Ischemia-reperfusion in cardiac surgery. Developments in Cardiovascular Medicine, vol 142. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-1713-5_9

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  • DOI: https://doi.org/10.1007/978-94-011-1713-5_9

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-4750-0

  • Online ISBN: 978-94-011-1713-5

  • eBook Packages: Springer Book Archive

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