Local deep hypothermia for combined valvular and coronary heart disease
| Autor: | Dennis F. Pupello, Luis N. Bessone, Richard H. Blank, Leffie M. Carlton, Richard G. Connar |
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| Rok vydání: | 1976 |
| Předmět: |
Pulmonary and Respiratory Medicine
Aortic valve Adult Male medicine.medical_specialty Adolescent medicine.medical_treatment Heart Valve Diseases Coronary Disease Revascularization Postoperative Complications Aortic valve replacement Hypothermia Induced Internal medicine medicine Humans Coronary Artery Bypass Coronary atherosclerosis Aged business.industry Mitral valve replacement Combined procedure Hypothermia Middle Aged medicine.disease Coronary heart disease Surgery medicine.anatomical_structure Evaluation Studies as Topic Aortic Valve Heart Valve Prosthesis cardiovascular system Cardiology Mitral Valve Female Tricuspid Valve medicine.symptom Cardiology and Cardiovascular Medicine business Follow-Up Studies |
| Zdroj: | The Annals of thoracic surgery. 21(6) |
| ISSN: | 0003-4975 |
| Popis: | Local deep hypothermia was utilized as the sole method of myocardial protection in 113 consecutive aortic valve replacements. Thirty-six patients had simultaneous revascularization, mitral valve replacement, tricuspid valve replacement, or a combination of these. In follow-up for as long as 36 months there have been 3 hospital deaths (2.6%), all occurring in the group having isolated aortic valve replacement. No hospital deaths occurred among patients undergoing a combined procedure. This experience suggests that local hypothermia provides adequate myocardial protection during periods of obligatory anoxia, even in the presence of associated coronary atherosclerosis, and that combined correction of valvular and coronary disease is feasible and is indicated in properly selected patients. |
| Databáze: | OpenAIRE |
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