By Werner Mohl
(Eurekah.com) Univ. of Vienna, Austria. subject matters comprise easy concerns and methods, venous drainage of the myocardium, constitution and serve as of the cardiac lymphatic approach, coronary sinus interventions in experimental examine, and extra. DNLM: center Arrest, precipitated.
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Additional info for Coronary Sinus Interventions in Cardiac Surgery, 2nd Ed. (Medical Intelligence Unit)
20 A question arises, therefore, why the clinical effect of retrograde cardioplegia is so good despite inhomogeneous delivery and low perfusion efficacy experimentally? We speculate that coronary sinus interventions including retrograde cardioplegia and PICSO reduce the inflammatory response of the heart. Inflammatory Response in Cardiac Surgery We will briefly review briefly the inflammatory response evoked by cardiac surgery. (Fig. ) The interaction of blood with the cardiopulmonary circuit activates complement following commencement of cardiopulmonary bypass, leading to the formation of anaphylatoxins C3a and C5a mainly via the alternative pathway.
Winkelmann J, Aronson S, Young CJ et al. Retrograde-delivered cardioplegia is not distributed equally to the right ventricular free wall and septum. J Cardiothorac Vasc Anethes 1995; 9:135-9. 10. Gundry SR, Wang N, Sciolaro CM et al. Uniformity of perfusion in all regions of the human heart by warm continuous retrograde cardioplegia. Ann Thorac Surg 1996; 61:33-5. 11. Rudis E, Gates RN, Laks H et al. Coronary sinus ostial occlusion during retrograde delivery of cardioplegic solition significantly improves cardioplegic distribution an efficacy.
Coronary sinus interventions: from concept to clinics. J Card Surg 1987; 2:467-93. 32. Mohl W, Gloger D, Kenner T et al. Enhancement of washout induced by pressure controlled intermittent coronary sinus occlusion (PICSO) in the canine and human heart. In: Mohl W, Wolner E, Gloger D, eds. The coronary sinus. Darmstadt: Steinkopff Verlag 1984; 537-48. CHAPTER 2 The Venous Drainage of the Myocardium in the Human Heart Michael von Lüdinghausen, Nobuko Ohmachi and Shoji Chiba Introduction T he coronary sinus (cs) is the anatomically appropriate location for the placement of a balloon catheter for retrograde perfusion or revascularization, in particular of the vessels of the left ventricular myocardium, in a case of severe stenosing coronary heart disease and jeopardized myocardium.
Coronary Sinus Interventions in Cardiac Surgery, 2nd Ed. (Medical Intelligence Unit) by Werner Mohl