Thorac Cardiovasc Surg 2015; 63(07): 624-627
DOI: 10.1055/s-0035-1545260
Original Cardiovascular
Georg Thieme Verlag KG Stuttgart · New York

Use of del Nido Cardioplegia in Adult Cardiac Surgery

Rajesh Ramanathan
1   Department of Surgery, Virginia Commonwealth University Medical Center, Richmond, Virginia, United States
,
Dan W. Parrish
1   Department of Surgery, Virginia Commonwealth University Medical Center, Richmond, Virginia, United States
,
Trygve K. Armour
1   Department of Surgery, Virginia Commonwealth University Medical Center, Richmond, Virginia, United States
,
Derek R. Brinster
2   Department of Cardiac Surgery, Lenox Hill Hospital, North Shore-Long Island Jewish Health System, New York, New York, United States
› Institutsangaben
Weitere Informationen

Publikationsverlauf

28. April 2014

18. Dezember 2014

Publikationsdatum:
05. März 2015 (online)

Abstract

Background del Nido cardioplegia was developed to protect pediatric hearts, and similar to pediatric hearts, older adult hearts tolerate ischemia–reperfusion poorly. This study investigates the feasibility of del Nido cardioplegia as an alternative to conventional Buckberg cardioplegia in adult cardiac surgery.

Methods A total of 142 adult patients undergoing cardiopulmonary bypass with del Nido cardioplegia and conventional Buckberg cardioplegia were retrospectively reviewed.

Results Fewer doses of cardioplegia and fewer defibrillations were noted with del Nido cardioplegia, and there were no significant differences in incidence of postoperative events.

Conclusion del Nido cardioplegia may be a feasible alternative to conventional Buckberg cardioplegia.

Note

This study was presented at the 2013 American Association for Thoracic Surgery Mitral Conclave in New York in May 2013.


 
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