Role of myocardial temperature measurement in monitoring the adequacy of myocardial protection during cardiac surgery Joseph A Dearani, MD, Trevor C.

Slides:

Advertisements

Similar presentations

Repeat Sternotomy: No Longer a Risk Factor in Mitral Valve Surgical Procedures Mehrdad Ghoreishi, MD, Murtaza Dawood, MD, Gerald Hobbs, PhD, Chetan Pasrija,

Advertisements

Beating Heart Aortic Valve Replacement After Previous Coronary Artery Bypass Surgery With a Patent Internal Mammary Artery Graft Roberto Battellini,

Acidosis-induced apoptosis in human and porcine heart

Valavanur A Subramanian, John C McCabe, Charles M Geller

Coronary artery bypass grafting on the beating heart evaluated with integrated backscatter Kenichi Imasaka, MD, Shigeki Morita, MD, Ichiro Nagano, MD,

Predicting In-Hospital Mortality After Redo Cardiac Operations: Development of a Preoperative Scorecard Sebastian Launcelott, BA, BComm, Maral Ouzounian,

Hartmuth B Bittner, MD The Annals of Thoracic Surgery

Hiroshi Takami, MD, Taizo Hiraishi, MD, Tohru Kobayashi, MD

Ventricular septal rupture caused by myocardial bridging

Comparison of EuroSCORE II, Original EuroSCORE, and The Society of Thoracic Surgeons Risk Score in Cardiac Surgery Patients Niv Ad, MD, Sari D. Holmes,

Joseph F. Sabik, MD, Bruce W. Lytle, MD, Eugene H

Intraoperative metabolic monitoring of the heart: II

Coronary Bypass Grafting to a “Full-Metal Jacket” Left Anterior Descending Artery María J. Mataró, MD, Gemma Sánchez-Espín, MD, Carlos Porras, MD, José.

G. James Avery, MD, S. Jill Ley, RN, J

James L Zellner, MD, Scott B Kribbs, BS, B

Robert E. Freundlich, MD, MS, Michael D. Maile, MD, MS, Mark M

Cardiac Reoperation in Patients Aged 80 Years and Older

Improved myocardial protection with blood and crystalloid cardioplegia

Richard Gitter, Chris M. Cate, Kenneth Smart, G.Kimble Jett

Robotic Assisted Multivessel Minimally Invasive Direct Coronary Artery Bypass With Port-Access Stabilization and Cardiac Positioning: Paving the Way for.

Potassium and Magnesium Supplementation Do Not Protect Against Atrial Fibrillation After Cardiac Operation: A Time-Matched Analysis Timothy S. Lancaster,

Aortic root replacement with anomalous origin of the coronary arteries

Travis F. D’Souza, BS, Bennett P. Samuel, MHA, Joseph J

James D. St. Louis, MD The Annals of Thoracic Surgery

Myocardial revascularization with the posterior tibial artery

Perioperative Patency of Coronary Artery Bypass Grafting is Not Influenced by Off- Pump Technique Francesco Onorati, MD, Silvio Olivito, MD, Pasquale.

Which Patients Benefit From Stentless Aortic Valve Replacement?

Clinical experience with an implantable, intracardiac, continuous flow circulatory support device: physiologic implications and their relationship to.

Surgical myocardial revascularization without cardiopulmonary bypass

The coronary artery bypass conduit: II

One-stage coronary and abdominal aortic operation with or without cardiopulmonary bypass: early and midterm follow-up Raimondo Ascione, MD, Gabriele.

Are older patients with mechanical heart valves at increased risk?

Complete Revascularization of the Three-Vessel Territories Using a Left Internal Thoracic Artery Composite Graft Ho Young Hwang, MD, PhD, Hong Chul Oh,

Continuous cold blood cardioplegia improves myocardial protection: a prospective randomized study Yves A.G Louagie, MD, PhD, Jacques Jamart, MD, Manuel.

Coronary Artery Bypass Grafting With Single Cross-Clamp Results in Fewer Persistent Neuropsychological Deficits Than Multiple Clamp or Off-Pump Coronary.

Aortic Valve Bypass for the High-Risk Patient With Aortic Stenosis

Pathology of the Radial and Internal Thoracic Arteries Used as Coronary Artery Bypass Grafts Eric Kaufer, BS, Stephen M Factor, MD, Rosemary Frame, MS,

Application of cabrol technique to off-pump coronary artery bypass grafting using radial artery Won-Min Jo, MD, Chan-Young Na, MD, PhD, Man-Jong Baek,

Single coronary artery and complete transposition of the great arteries: a technical challenge resolved? Vinayak Shukla, Robert M Freedom, MD, Michael.

Repeat Sternotomy: No Longer a Risk Factor in Mitral Valve Surgical Procedures Mehrdad Ghoreishi, MD, Murtaza Dawood, MD, Gerald Hobbs, PhD, Chetan Pasrija,

Ischemic preconditioning does not improve myocardial preservation during off-pump multivessel coronary operation Hannu J Penttilä, MD, Martti V.K Lepojärvi,

Current Clinical Outcomes of Percutaneous Coronary Intervention and Coronary Artery Bypass Grafting Michael J. Mack, MD, Syma L. Prince, RN, Morley Herbert,

Hisato Takagi, MD, PhD, Takuya Umemoto, MD, PhD

Nilanjan Chaudhuri, Mark St.J Hickey The Annals of Thoracic Surgery

Off-pump coronary bypass grafting: how to use the octopus tissue stabilizer ErikW.L Jansen, MD, PhD, JaapR Lahpor, MD, PhD, Cornelius Borst, MD, PhD,

Influence of experience and the surgical learning curve on long-term patient outcomes in cardiac surgery Bryan M. Burt, MD, Andrew W. ElBardissi, MD,

Mudassir I Dar, Timothy Gillott, Franco Ciulli, MD, Graham J Cooper

Optimal dose and mode of delivery of Na+/H+ exchange-1 inhibitor are critical for reducing postsurgical ischemia-reperfusion injury Joel S Corvera, MD,

Hans-Joachim Schäfers, MD, PhD, Diana Aicher, MD, Frank Langer, MD

Protection of the human heart with ischemic preconditioning during cardiac surgery: role of cardiopulmonary bypass Sudip Ghosh, MD, Manuel Galiñanes,

Stroke in cardiac surgical patients: determinants and outcome

Total Arterial Off-Pump Coronary Surgery: Time to Change Our Habits?

Intermittent Warm Blood Cardioplegia Preserves Myocardial β-Adrenergic Receptor Function Massimo Chello, Pasquale Mastroroberto, Vincenzo De Amicis,

Wael Hassanein, MD, Alexander A

Adam E Saltman, MD, PhD, Walter H Dzik, MD, Sidney Levitsky, MD

Effect of Coronary Artery Disease Extent on Contemporary Outcomes of Combined Aortic Valve Replacement and Coronary Artery Bypass Graft Surgery Zhongmin.

Minimally invasive direct coronary artery bypass in a cardiac transplant recipient with allograft vasculopathy Ivan Aleksic, MD, PhD, Jarowit A Piotrowski,

Computer-assisted endoscopic coronary artery bypass anastomoses: a chronic animal study Edward R Stephenson, MD, Christopher T Ducko, MD, Sachin Sankholkar,

Henry F Tripp, MD, Robert M Stiegel, MD, Joseph P Coyle, MD

Serum S100β release after coronary artery bypass grafting: roller versus centrifugal pump Saeed Ashraf, Kausik Bhattacharya, Sunny Zacharias, Pradeep.

Sérgio A de Oliveira, MD The Annals of Thoracic Surgery

Håvard Nordgaard, MD, Nicola Vitale, MD, PhD, Rune Haaverstad, MD, PhD

Robert R Lazzara, MD, Francis E Kidwell, BS

Catheter-Based Endoscopic Bypass Grafting: An Experimental Feasibility Study Stephan Jacobs, MD, David Holzhey, MD, Hubert Stein, BS, BME, Friedrich W.

Potassium and Magnesium Supplementation Do Not Protect Against Atrial Fibrillation After Cardiac Operation: A Time-Matched Analysis Timothy S. Lancaster,

Roderick W Landymore, MD, Alexander J Bayes, MD, J

Dumbor L. Ngaage, MD, FRCS (C-Th), Michael E. Cowen, FRCS

Effects of in vivo myocardial ischemia and reperfusion on interstitial nitric oxide metabolites Randy M Stevens, MD, M.Salik Jahania, MD, Jennifer E.

The prognostic impact of concomitant coronary artery bypass grafting during aortic valve surgery: Implications for revascularization in the transcatheter.

Revascularization alone (without mitral valve repair) suffices in patients with advanced ischemic cardiomyopathy and mild-to-moderate mitral regurgitation

Presentation transcript:

Role of myocardial temperature measurement in monitoring the adequacy of myocardial protection during cardiac surgery Joseph A Dearani, MD, Trevor C Axford, MD, Manisha A Patel, MD, Nancy A Healey, BS, Philip T Lavin, PhD, Shukri F Khuri, MD The Annals of Thoracic Surgery Volume 72, Issue 6, Pages S2235-S2243 (December 2001) DOI: 10.1016/S0003-4975(01)03320-3

Fig 1 Linear regression plot of anterior myocardial tissue pH (corrected to 37°C) versus anterior myocardial temperature during aortic occlusion in blood cardioplegia group of patients (n = 47). The Annals of Thoracic Surgery 2001 72, S2235-S2243DOI: (10.1016/S0003-4975(01)03320-3)

Fig 2 Linear regression plot of mean anterior myocardial tissue pH (corrected to 37°C) versus the volume of cardioplegia delivered per hour of aortic occlusion in blood cardioplegia group of patients (n = 47). The Annals of Thoracic Surgery 2001 72, S2235-S2243DOI: (10.1016/S0003-4975(01)03320-3)

Fig 3 Linear regression plot of subset of 40 patients with measurement of anterior and posterior myocardial tissue pH (corrected to 37°C) obtained at 5-minute intervals during period of aortic occlusion (r = 0.52; p = 0.049). The Annals of Thoracic Surgery 2001 72, S2235-S2243DOI: (10.1016/S0003-4975(01)03320-3)

Fig 4 Linear regression plot of subset of 40 patients with measurement of anterior and posterior myocardial temperature (corrected to 37°C) obtained at 5-minute intervals during period of aortic occlusion (r = 0.78; p = 0.047). The Annals of Thoracic Surgery 2001 72, S2235-S2243DOI: (10.1016/S0003-4975(01)03320-3)

Fig 5 Myocardial tissue pH and myocardial temperature tracings from a patient who underwent mitral valve replacement and coronary artery bypass grafting. (A) Myocardial tissue pH and myocardial temperature tracings obtained throughout procedure. (B) Myocardial tissue pH corrected to 37°C. Horizontal bars depict times and routes of cardioplegia administration. (ApH = anterior wall pH; AR = aortic root; AT = anterior wall temperature; BP = cardiopulmonary bypass; DEFIB = defibrillation; LAD = left anterior descending coronary artery; OMB = obtuse marginal coronary artery; PpH = posterior wall pH; PT = posterior wall temperature; XC = aortic cross clamp.) The Annals of Thoracic Surgery 2001 72, S2235-S2243DOI: (10.1016/S0003-4975(01)03320-3)

Fig 6 Myocardial tissue pH and myocardial temperature tracings from a patient who underwent aortic valve replacement and coronary artery bypass grafting. (A) Actual myocardial tissue pH and myocardial temperature tracings throughout procedure. (B) Myocardial tissue pH corrected to 37°C. (ApH = anterior wall pH; AR = aortic root; AT = anterior wall temperature; BP = cardiopulmonary bypass; DEFIB = defibrillation; LM = left main coronary artery; PpH = posterior wall pH; PT = posterior wall temperature; RCA = right coronary artery; XC = aortic cross clamp.) The Annals of Thoracic Surgery 2001 72, S2235-S2243DOI: (10.1016/S0003-4975(01)03320-3)