Apical suction leads to severe ischemia of the ventricular apex☆
Author(s) -
Ángel L. Fernández,
José B. García-Bengochea,
J. Álvarez,
Luis Francisco Pérez,
Jose M. Saro Suarez,
Jerónimo Forteza,
Joaquín Cortés,
Amparo Martínez
Publication year - 2006
Publication title -
european journal of cardio-thoracic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.303
H-Index - 133
eISSN - 1873-734X
pISSN - 1010-7940
DOI - 10.1016/j.ejcts.2005.12.045
Subject(s) - ventricle , medicine , suction , apex (geometry) , cardiology , basal (medicine) , perfusion , anatomy , mechanical engineering , insulin , engineering
Apical suction devices allow displacement of the heart in off-pump coronary artery surgery. However, high vacuum pressure may injure the suctioned myocardium. It has been demonstrated that partial pressure of oxygen in the myocardium (ptiO(2)) is a sensitive and rapid indicator of myocardial ischemia. The purpose of this study is to evaluate the effect of apical suction on the ptiO(2) as an indirect measure of myocardial perfusion of the ventricular apex.
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