[Retrograde coronary sinus perfusion of cardioplegic solution in Jatene operation in neonates and infants]

[Retrograde coronary sinus perfusion of cardioplegic solution in Jatene operation in neonates and infants] Research Abstract Details 

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[Retrograde coronary sinus perfusion of cardioplegic solution in Jatene operation in neonates and infants] Abstract Text:

K Yonenaga,H Yasui,H Kado,H Andou,E Nakano,F Fukumura,Y Nishimura,M Zaitsu,T Shin,A Morimoto,

The clinical benefits of retrograde coronary sinus perfusion of a cardioplegic solution were investigated in 7 neonates and 23 infants undergoing Jatene operation. After an initial infusion of albumin-containing crystalloid cardioplegic solution via the aortic root, 21 patients received additional solution delivered by retrograde coronary sinus perfusion (retrograde group) and 9 patients received by selective antegrade coronary perfusion (antegrade group) every 20 to 30 minutes. There were no differences in age, weight, and left ventricular preoperative pressure and morphology between the two groups. Aortic cross-clamping time was 130 +/- 18 minutes in retrograde group and 147 +/- 20 minutes in antegrade group. Postoperative assays of CPK-MB, GOT and LDH, and hemodynamic measurements immediately after cessation of cardiopulmonary bypass (CPB) were carried out in all patients. Although there was no significant difference between the two groups in terms of enzyme indexes, retrograde group showed a greater variation of sigma CPK-MB from patient to patient than antegrade group. However, hemodynamic parameters of CVP, left atrial pressure and rate-pressure product at 20-30 minutes after CPB were similar in the two groups. Six neonates in retrograde group also demonstrated the similar enzyme indexes and hemodynamic state immediately after CPB to other older patients. We concluded, therefore, that retroperfusion of cardioplegic solution in neonates and infants provides satisfactory myocardial protection as well as antegrade perfusion, and it was a useful means of cardioplegic delivery in Jatene operation, because of its simplicity.

[Retrograde coronary sinus perfusion of cardioplegic solution in Jatene operation in neonates and infants] Publishing Authors By Initials

K Yonenaga,H Yasui,H Kado,H Andou,E Nakano,F Fukumura,Y Nishimura,M Zaitsu,T Shin,A Morimoto,

For similar inorganic chemicals: potassium compounds research abstracts see: inorganic chemicals: potassium compounds research

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[Retrograde coronary sinus perfusion of cardioplegic solution in Jatene operation in neonates and infants] Journal Published:

PUBLICATION TYPE: Journal Article

Journal: [Zasshi] [Journal]. Nihon Ky?bu Geka Gakkai

VOLUME: 37

Page Numbers: 274-80

Journal Abbreviation:

ISSN: 0369-4739

DAY: 14

MONTH: Feb

YEAR: 1989

[Retrograde coronary sinus perfusion of cardioplegic solution in Jatene operation in neonates and infants] Information

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LANGUAGE: jpn

NlmUniqueID: 19130180

[Retrograde coronary sinus perfusion of cardioplegic solution in Jatene operation in neonates and infants] Keywords Mesh Terms:

KEYWORDS: Potassium Compounds

MESH TERMS: administration & dosage

Chemical & Substance for Abstract: [Retrograde coronary sinus perfusion of cardioplegic solution in Jatene operation in neonates and infants] Information

Substance Name: Potassium

Registry Number: 7440-09-7

Grant and Affiliation Information for [Retrograde coronary sinus perfusion of cardioplegic solution in Jatene operation in neonates and infants]

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Country: JAPAN

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MEDLINETA: Nippon Kyobu Geka Gakkai Zassh

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