書誌事項
- タイトル別名
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- Is It Safe to Use Intermittent Warm Blood Cardioplegia for Coronary Artery Bypass Grafting?
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Postoperative cardiac function, changes of LV wall motion and exercise tolerance test were studied in 49 patients who received coronary artery bypass grafting (CABG) using antegrade intermittent warm blood cardioplegia (IWBC) and had postoperative left ventriculography (LVG). The mean aortic cross clamp (ACC) time was 68.2±22.8 minutes, and the coronary perfusion time during ACC was 12.6±6.9 minutes (18.2±7.1% of total ACC time). Spontaneous return of normal sinus rhythm was seen in 45 patients (92%). Perioperative myocardial infarction occurred in only one patient and one patient required inotropic support>5μg/kg/min after operation. The mean cardiac index measured by Swan-Ganz catheter improved postoperatively, and the postoperative LVG revealed improvement of the LV wall motion in comparison with that of preoperative LVG, and no local asynergy due to inadequate distribution of IWBC was seen in the early postoperative period. The mean postoperative exercise tolerance performed in 24 patients was 6.6 METS (metabolic equivalents), and no patient revealed myocardial ischemia at exercise. In conclusion, the IWBC is considered to be an easy and safe technique for distal anastomoses of CABG with no influence upon the postoperative cardiac function and LV wall motion.
収録刊行物
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- 日本心臓血管外科学会雑誌
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日本心臓血管外科学会雑誌 26 (1), 27-33, 1997
特定非営利活動法人 日本心臓血管外科学会
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詳細情報 詳細情報について
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- CRID
- 1390001204703789952
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- NII論文ID
- 130003628928
- 10011349997
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- NII書誌ID
- AN00193284
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- ISSN
- 18834108
- 02851474
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
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- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可