Local cardiac hypothermia for myocardial protection during correction of congenital heart disease.

The Annals of Thoracic Surgery
J J LambertiA R Castaneda

Abstract

Eighty-eight operations for correction of intracardiac congenital heart defects were performed using local cardiac hypothermia for protection of the ischemic myocardium. Twenty-six patients underwent repair of tetralogy of Fallot, 23 had patch closure of ventricular septal defect, 24 had correction of various types of congenital aortic stenosis, and 15 were operated upon for other complex lesions. The overall operative mortality was 5.6%. Ischemia times ranged from 9 to 119 minutes (mean, 48 minutes). Ischemic arrest protected by local cardiac hypothermia provides an optimal operative field, permitting repair of uncomplicated intracardiac defects in a precise, unhurried manner. No hemodynamic abnormalities attributable to the technique were encountered.

References

Jul 1, 1974·The American Journal of the Medical Sciences·J R Bell, A C Fox
Feb 1, 1974·The Annals of Thoracic Surgery·L H Cohn, J J Collins
Jan 1, 1968·American Heart Journal·N H FishmanB B Roe

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Citations

Feb 1, 1994·The Annals of Thoracic Surgery·J S HeinleR M Ungerleider
May 27, 2006·Cardiology in the Young·Vladimiro L VidaGiovanni Stellin
Oct 1, 1991·The Annals of Thoracic Surgery·C WittnichT Salerno
Mar 10, 2001·The Annals of Thoracic Surgery·R P Scott

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