Alternate antegrade/retrograde perfusion: an effective technique to preserve hypertrophied hearts during valvular surgery☆
Author(s) -
Jian Wang,
Hongyu Liu,
Tomás A. Salerno,
Bogusław Tomanek,
Randy Summers,
Roxanne Deslauriers,
Rakesh C. Arora,
Ganghong Tian
Publication year - 2008
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.2008.10.015
Subject(s) - phosphocreatine , perfusion , medicine , cardiology , energy metabolism , adenosine triphosphate , retrograde perfusion , oxygenation
Continuous antegrade perfusion (AP) may interfere with surgical precision. Continuous retrograde perfusion (RP), on the other hand, cannot sustain the empty-beating hypertrophied hearts. Therefore, alternate antegrade/retrograde perfusion (A(A/R)P) may be a rational technique to preserve the hypertrophied hearts. This study is to determine whether A(A/R)P could maintain myocardial energy metabolism, oxygenation, and contractile function of the empty-beating hypertrophied hearts.
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