PMID: 6979984Jun 1, 1982Paper

Coronary artery stenosis following aortic valve replacement and intermittent intracoronary cardioplegia

The Annals of Thoracic Surgery
D G PenningtonV L Willman

Abstract

From July, 1977, to July, 1980, intermittent cold blood potassium cardioplegia was used in 208 patients undergoing aortic valve replacement. Aortic root injection of the cardioplegic solution at 10 degrees C was followed every 20 to 30 minutes by infusions of the solution through Silastic cannulas sutured in the coronary orifices or reinserted with each injection. Symptoms of myocardial ischemia developed in 6 patients 3 to 30 months postoperatively. Coronary angiography confirmed new stenoses of the left orifice (3 patients), left main trunk (1 patient), left anterior descending coronary artery (2 patients), circumflex coronary artery (1 patients), and right orifice (3 patients). Four patients underwent saphenous vein grafting procedures, with 2 deaths; 2 patients refused reoperation. A seventh patient with 80% stenosis of the circumflex coronary artery and a posterolateral myocardial infarction died 2 months after double-valve replacement. Intermittent cold blood potassium cardioplegia instead of continuous perfusion did not prevent coronary arterial injury. Injuries occurred in the distal coronary arteries as well as the orifices and were not prevented by withdrawal of the cannulas between injections. Tight-fitting cannulas ...Continue Reading

References

Feb 1, 1977·The Annals of Thoracic Surgery·S K ChawlaC Serry
Jul 1, 1973·Circulation·G E ReedE Glassman
Jul 1, 1973·The Annals of Thoracic Surgery·L L BlackM D Silver
Apr 1, 1967·Circulation·W C Roberts, A G Morrow

❮ Previous
Next ❯

Citations

Sep 26, 2006·Circulation Journal : Official Journal of the Japanese Circulation Society·Akira FunadaHirokazu Ohashi
Aug 1, 1987·The Annals of Thoracic Surgery·P Menasché, A Piwnica
Feb 1, 1989·The Annals of Thoracic Surgery·H B BarnerG C Kaiser
May 1, 1984·The Annals of Thoracic Surgery·D M Nicoloff
Jun 27, 2009·Journal of Cardiovascular Computed Tomography·Michael ShenodaDonald S Chang
Nov 20, 2008·Journal of Cardiac Surgery·Spiridon BotsiosGerhard Walterbusch
Jan 15, 2011·Journal of Cardiac Surgery·Sergey LeontyevFriedrich W Mohr
Apr 28, 2004·The Annals of Thoracic Surgery·Francesco SantiniAlessandro Mazzucco
Sep 29, 2009·Journal of Interventional Cardiology·Tomislav MirkovicMarko Noc
Mar 27, 2013·Cardiovascular Revascularization Medicine : Including Molecular Interventions·Muhammad A KhanMagdi El-Omar
May 1, 1984·The Annals of Thoracic Surgery·R C Chiu
Feb 24, 2015·Asian Cardiovascular & Thoracic Annals·Shakil FaridSamer Am Nashef
Oct 14, 1998·Circulation·J E Molina

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Circulation Journal : Official Journal of the Japanese Circulation Society
Akira FunadaHirokazu Ohashi
Cardiovascular Surgery : Official Journal of the International Society for Cardiovascular Surgery
O ChavanonL P Perrault
Interactive Cardiovascular and Thoracic Surgery
Bruno BorrelloTiziano Gherli
© 2021 Meta ULC. All rights reserved