Heart transplantation myocardial protection strategies.docVIP

 PAGE \* MERGEFORMAT 15 Heart transplantation myocardial protection strategies Author: Black Dragon, Wang Shigang, Yu-kun, Li Jingwen, Long Village [Abstract] Objective To review 63 cases of orthotopic heart transplantation in myocardial protection of management experience. Methods of myocardial protection for cardiac perfusion from the aortic root cold 4 ℃ St.Thomas solution 1 000mL enable rapid cardioplegia donor heart, and then through the aortic root of a cardiac perfusion 4 ℃ the University of Wisconsin preservation solution (UW solution) or Const Cardiac protection solution (HTK solution) 2 000 mL for organ protection, before opening the ascending aorta perfusion of warm blood potassium cardioplegia. The results of warm ischemia time (7.2 ± 1.3) min, cold ischemia time (165.7 ± 52.4) min, cardiopulmonary bypass time (178.3 ± 31) min, cardiopulmonary bypass time of parallel secondary (75.3 ± 28.9) min, of which 38 cases were l aortic opening automatically re-jump, postoperative mechanical ventilation time (26.7 ± 25) h, of which 41 cases of 24 extubation within the shortest person 2 h after extubation in the operating room, surgical intensive care unit after separation time (9 ± 4) days, after a month of life of patients able to take care of themselves, echocardiography showed left ventricular ejection fraction 55% ~ 73% (63.6 ± 6.0)%. All patients survived. Conclusion of effective protection measures for the physical heart of the success of cardiac transplantation plays a crucial role. [Keywords:] Myocardial protection; heart transplantation; pump Abstract: OBJECTIVE To summarize the experiences of myocardial protection in donor heart on 63 cases of orthotopic heart transplantation. METHODS The donor hearts were arrested with aorto perfusion using St.Thomas solution at 4 ℃ . Then the donor hearts were perfused with 2000 mL UW solution or HTK solution in 4 ℃ and preserved in ice saline. Ice mud was covered on the donor heart in the period of