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Thorac Cardiovasc Surg 2020; 68(03): 232-234
DOI: 10.1055/s-0039-1679925
Special Report
Georg Thieme Verlag KG Stuttgart · New York

Intermittent Antegrade Warm Blood Cardioplegia: What Is Next?

Antonio Maria Calafiore
1   Department of Cardiac Surgery, Pope John Paul II Foundation, Campobasso Italy
,
Piero Pelini
1   Department of Cardiac Surgery, Pope John Paul II Foundation, Campobasso Italy
,
Massimilliano Foschi
2   Department of Cardiac Surgery, SS Annunziata Hospital, Chieti, Italy
,
Michele Di Mauro
2   Department of Cardiac Surgery, SS Annunziata Hospital, Chieti, Italy
› Author Affiliations Funding None.
Further Information

Publication History

21 December 2018

22 January 2019

Publication Date:
05 March 2019 (online)

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Abstract

The introduction of warm heart surgery was a radical change in the concept of myocardial protection. In 1992, we applied a protocol for intermittent antegrade warm blood cardioplegia (CPL), which acquired some popularity for its simplicity and effectiveness. The possibility to deliver the warm blood CPL intermittently using the antegrade route attracted the attention of the scientific world, as the surgical procedure was less complicated. In this report, our aim is to focus on the changes that the protocol underwent over time and the reasons why these changes were made.

Keywords

cardiopulmonary bypass - inflammation - myocardial protection - cardioplegia

Disclosures

None to disclose.


Supplementary Material

 

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