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PROLONGED TRANSMURAL LOCAL MYOCARDIAL HYPOTHERMIA: A SIMPLIFIED METHOD.
1Hospital Italiano, Servicio de Cirugia Cardiovascular, Division de Organos Artificiales y Transplantes and Instituto del Corazon de Buenos Aires, Argentina.
Cardiovascular Diseases
|June 1, 1979
Summary
This study introduces a plastic bag technique for effective heart cooling during cardiac procedures. This method ensures continuous cooling while protecting the heart from surrounding heat.
Area of Science:
- Cardiovascular Surgery
- Medical Device Technology
Background:
- Maintaining optimal heart temperature is crucial during cardiac surgical procedures.
- Protecting the myocardium from thermal injury is a key concern in cardiothoracic surgery.
Purpose of the Study:
- To describe a novel plastic bag technique for controlled epimyocardial and endomyocardial cooling.
- To evaluate the efficacy of this technique in isolating the heart thermally.
Main Methods:
- A specialized plastic bag was employed for direct application to the heart surface.
- The technique facilitates continuous cooling of the epicardial and endocardial surfaces.
- It provides insulation against the warmer mediastinal environment.
Main Results:
- The plastic bag technique allows for constant cooling of the heart.
- It effectively isolates the heart from the higher temperature of the adjacent mediastinum.
- This method offers a controlled approach to myocardial thermal management.
Conclusions:
- The plastic bag technique is a viable method for achieving consistent myocardial cooling.
- It provides essential thermal isolation, potentially reducing thermal stress on the heart during surgery.
- This technique represents a simple yet effective tool for intraoperative cardiac temperature regulation.