Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

[Repeat open heart surgery using continuous warm blood cardioplegia]

H Nagaoka1, R Innami, K Hirooka

  • 1Department of Cardiovascular and Thoracic Surgery, Tsuchiura Kyodo General Hospital, Japan.

Kyobu Geka. the Japanese Journal of Thoracic Surgery
|July 1, 1994
PubMed
Summary

Continuous warm blood cardioplegia (CWBC) significantly improves myocardial protection during repeat open heart surgery compared to intermittent cold GIK cardioplegia (ICGC). CWBC leads to better heart function recovery and reduced complications.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Surgical correction of ventricular septal defect in a cat.

Journal of veterinary cardiology : the official journal of the European Society of Veterinary Cardiology·2025
Same author

Pre-operative left atrial size and functions are predictors of left atrial reverse remodelling after mitral valvuloplasty for myxomatous mitral valve disease in dogs.

Journal of veterinary cardiology : the official journal of the European Society of Veterinary Cardiology·2024
Same author

Percutaneous transcatheter right atrial stent placement for recurrent cor triatriatum dexter following initial surgical excision of right intra-atrial membrane in a dog.

Journal of veterinary cardiology : the official journal of the European Society of Veterinary Cardiology·2024
Same author

Changes in the composition of molecular species of covalently bound and free ceramides [EOS], and their correlation with disease severity in atopic dermatitis.

Experimental dermatology·2024
Same author

Alleviative effects of glutamate against chemotherapeutic agent-induced intestinal mucositis.

Journal of physiology and pharmacology : an official journal of the Polish Physiological Society·2023
Same author

Redox-labelled electrochemical aptasensors with nanosupported cancer cells.

Biosensors & bioelectronics·2022

Area of Science:

  • Cardiovascular Surgery
  • Cardiothoracic Anesthesia
  • Cardiac Physiology

Background:

  • Myocardial protection strategies require enhancement for repeat open-heart surgeries.
  • Optimizing cardioplegia delivery is crucial for patient outcomes in complex cardiac procedures.

Purpose of the Study:

  • To compare the efficacy of continuous warm blood cardioplegia (CWBC) against intermittent cold GIK cardioplegia (ICGC) for myocardial protection in repeat open-heart surgery.

Main Methods:

  • A comparative study involving 24 patients undergoing repeat open-heart surgery via re-sternotomy.
  • Patients were divided into two groups: CWBC (n=10) and ICGC (n=14).
  • Outcomes assessed included spontaneous heart beat recovery, serum CK-MB levels, ventricular stroke work index, and postoperative bleeding.

Related Experiment Videos

Main Results:

  • Spontaneous heart beat recovery was significantly higher in the CWBC group (90.0%) versus the ICGC group (14.3%) (p < 0.001).
  • Postoperative peak serum CK-MB levels were significantly lower in the CWBC group.
  • The CWBC group demonstrated improved left and right ventricular stroke work index and reduced postoperative bleeding.

Conclusions:

  • Continuous warm blood cardioplegia (CWBC) is superior to intermittent cold GIK cardioplegia (ICGC) for myocardial protection in repeat open-heart surgery.
  • CWBC facilitates better cardiac function recovery and reduces the need for homologous blood transfusions.