Warm Blood Cardioplegia for Myocardial Protection: Concepts and Controversies

Author:

James Taylor M.1,Nores Marcos2,Rousou John A.3,Lin Nicole1,Stamou Sotiris C.2

Affiliation:

1. Graduate Medical Education MD/MPH Program, University of Miami Miller School of Medicine, Miami, Florida 33130

2. Department of Cardiothoracic Surgery, JFK Medical Center, Atlantis, Florida 33462

3. Department of Cardiothoracic Surgery, Baystate Medical Center, Springfield, Massachusetts 01199

Abstract

Warm blood cardioplegia has been an established cardioplegic method since the 1990s, yet it remains controversial in regard to myocardial protection. This review will describe the physiologic and technical concepts behind warm blood cardioplegia, as well as outline the current basic and clinical research that evaluates its usefulness. Controversies regarding this technique will also be reviewed. A long history of experimental data indicates that warm blood cardioplegia is safe and effective and thus suitable myocardial protection during cardiopulmonary bypass surgeries.

Publisher

Texas Heart Institute Journal

Subject

Cardiology and Cardiovascular Medicine

Reference65 articles.

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