Blood and crystalloid cardioplegia in aortic valve surgery
Pehkonen, E.J.; Anttonen, O.M.; Tarkka, M.R.
Annales Chirurgiae et Gynaecologiae 83(4): 292-295
1994
ISSN/ISBN: 0355-9521 PMID: 7733612 Document Number: 427377
Eighty-six patients who had undergone aortic valve surgery were reviewed. Forty-three had received crystalloid cardioplegia, the other 43 blood cardioplegia. Spontaneous beating after cross-clamp release (blood 11; crystalloid 0; P < 0.001), number of defibrillations (blood 2.1 +/- 2.6; crystalloid 3.8 +/- 2.2; P < 0.01) and CK-MB values on the operation day (blood 65 +/- 55, crystalloid 112 +/- 73; P < 0.001) and on the following day (blood 53 +/- 43, crystalloid 96 +/- 98; P < 0.01) indicated that blood is a better cardioplegic vehicle for patients with hypertrophied hearts.