| Issue |
J Extra Corpor Technol
Volume 45, Number 1, March 2013
|
|
|---|---|---|
| Page(s) | 46 - 50 | |
| DOI | https://doi.org/10.1051/ject/201345046 | |
| Published online | 15 March 2013 | |
Technique Article
Use of del Nido Cardioplegia Solution and a Low-Prime Recirculating Cardioplegia Circuit in Pediatrics
Address correspondence to: Richard M. Ginther, Jr., CCP, Division of Pediatric Cardiothoracic Surgery, Children’s Medical Center of Dallas, 1935 Medical District Drive, Suite C3211, Dallas, TX 75235. E-mail: Richard.ginther@utsouthwestern.edu
Received:
30
September
2012
Accepted:
5
February
2013
The evolution of myocardial protection techniques has been both the source of milestone advancements and controversial debate in cardiac surgery. Our institution has modified a low-prime cardioplegia system (CPS) and adopted a single-dose cardioplegia solution (del Nido cardioplegia) for our congenital heart disease population. The goal of this article is to describe our CPS and outline our myocardial protection protocol. These techniques have allowed us to minimize circuit surface area, operate uninterrupted, and safely protect the myocardium during extended ischemic periods.
Key words: pediatric / myocardial protection / cardioplegia / del Nido / circuit miniaturization
© 2013 AMSECT
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