Issue |
J Extra Corpor Technol
Volume 18, Number 2, June 1986
|
|
---|---|---|
Page(s) | 129 - 133 | |
DOI | https://doi.org/10.1051/ject/1986182129 | |
Published online | 12 September 2023 |
Original Article
A Modified Blood Cardioplegia Delivery System Designed to Provide Improved Right Heart Protection
1
St. Mark's Hospital, Salt Lake City, UT
2 PSICOR, Inc., Brighton, MI
* Direct communications to: Allen L. Evers, R.N., C.C.P., PSICOR, Inc., 810 East Grand River, Brighton, MI 48116
Inadequate right heart protection during cardiac surgery with extracorporeal circulation is a complex problem. Rewarming of the right heart via collateral coronary blood flow, ambient room air, surgical lights and the proximity of the heart to other mediastinal structures, as well as inadequate initial cooling are some of the factors sited as causes of reduced myocardial protection. Recently there has been increased attention to the problem especially in the setting of adequate left heart protection. The goals of this paper are 1) To review and discuss the literature addressing right heart dysfunction and associated abnormalities of cardiac rhythm, 2) To explore the etiology of these complications and 3) To describe a newly designed system of right heart protection utilizing a modified blood cardioplegia delivery system which we feel will be helpful in reducing the incidence of these complications.
© 1986 AMSECT
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