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

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Presentation on theme: "Role of myocardial temperature measurement in monitoring the adequacy of myocardial protection during cardiac surgery  Joseph A Dearani, MD, Trevor C."— Presentation transcript:

1 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: /S (01)

2 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  , S2235-S2243DOI: ( /S (01) )

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  , S2235-S2243DOI: ( /S (01) )

4 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  , S2235-S2243DOI: ( /S (01) )

5 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  , S2235-S2243DOI: ( /S (01) )

6 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  , S2235-S2243DOI: ( /S (01) )

7 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  , S2235-S2243DOI: ( /S (01) )


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