Elderly patients with coronary artery bypass grafting in myocardial protection during cardiopulmonary bypass.docVIP

 PAGE \* MERGEFORMAT 11 Elderly patients with coronary artery bypass grafting in myocardial protection during cardiopulmonary bypass Authors: Li-Juan Ma, Zhao jade, Li Ye, Chen Hou-Kun, Xu Jin-Zhi, Dong Sheng, Lu Hong-ray [Abstract] Objective To observe the elderly (≥ 70 years) with coronary heart disease in patients with coronary artery bypass grafting (CABG) in the clinical effect of myocardial protection. Methods The hospital nearly a year old (≥ 70 years) with coronary heart disease in patients with cardiopulmonary bypass CABG 20 cases, including interventional therapy in 3 cases (emergency bypass after heart stent 1 case), the use of cardiopulmonary bypass in cold blood cardioplegia cis-filling - cold-blooded continuous inverse filling - opening the ascending aorta before the warm-blooded cis-filling method of myocardial protection. Results All 20 patients with cardiac auto-resuscitation in 16 cases, accounting for 80%; shock cardioversion in 4 cases, accounting for 20%. Postoperative sternal infection in 1, perioperative and 1 died and the remaining patients were discharged. Conclusion age (≥ 70 years) in patients with cardiopulmonary bypass CABG, cardiopulmonary bypass use of cold blood cardioplegia cis-filling - cold-blooded continuous inverse filling - opening the ascending aorta before the warm-blooded cis-irrigation as a valid method of myocardial protection, auto-recovery high jump . [Keywords:] age; coronary artery bypass grafting; cardiopulmonary bypass; myocardial protection Abstract: OBJECTIVE To observe the clinical effect of myocardial protection on aged patients (≥ 70 years) during coronary artery bypass grafting (CABG). METHODS To review the methods of myocardial protection of 20 aged patients (≥ 70 years) during on-pump CABG in my hospital from 2007-06 to 2008-06. Myocardial preservation of antegrade perfusion with cold-blooded cardioplegic solution, continuous retrograde perfusion with cold-blood and antegrade perfusion with warmi