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KMID : 0364019910240040345
Korean Journal of Thoracic and Cardiovascular Surgery
1991 Volume.24 No. 4 p.345 ~ p.351
Changes of Myocardial Temperature Following Infusion of Cold Cardioplegic Solution in Open Heart Surgery




Abstract
The myocardial temperature were measured time-wise : initial and 15 minutes following the infusion of the cardioplegic solution into the aortic root and upon reinfusion, which is 30 minutes apart from the initial.
The measurements were made in the anterior wall of the right ventricle, the posterior wall of the left ventricle and the interventricular septum.
Immediately after initial infusion, the temperature of the right ventricle(10.74.31C) was the lowest and that of the left ventricle (12.9 3.91C) the highest in the mean values among all 19 patients. However, no significant differences were noted among the different regions.
At 15 minutes after infusion, the lowest temperature was in the right ventricle (17.5 5. 1¢¥C) , followed by interventricular septum(17.9 2.9¢¥C ), and left ventricle (21.4 t 2.51C).
At 30 minutes after infusion, the lowest temperature was measured in the interventricular septum(13.6 231C), followed by right ventricle (13.8 t 4.01c) and left ventricle(14.5f4.51).
Evaluating changes of myocardial temperature according to postinfusion time, the temperature at 15 minutes after infusion showed significant increase as compared with that immediately after the infusion in all three regions(p<0.05) and the temperature at 30 minutes after infusion showed significant decrease as compared with that at 15 minutes after the infusion in the left ventricle and the interventricular septum(p<0.05). The left ventricle was rewarmed most rapidly and its temperature the highest in the mean values. Accordingly, the maintenance of optimal hypothermia of the left ventricle indicated a very careful factor in myocardial protection.
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