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Myocardial Preservation

  • Chapter
Manual of Cardiac Surgery

Part of the book series: Comprehensive Manuals of Surgical Specialties ((CMSS))

  • 74 Accesses

Abstract

During the first decade of open heart surgery, operative mortality and morbidity resulted from technical errors, improper postoperative management, organ failure in systems other than the cardiovascular, depressed postoperative myocardial performance, and other factors. Experience has markedly improved the technical performance of cardiac surgery, diminishing technical factors as a major cause of mortality and morbidity. With increasing knowledge of the physiology of the postoperative cardiac patient and sophisticated monitoring technology, postoperative care is now scientific and effective. Refined techniques of cardiopulmonary bypass and improved oxygenators and other devices have almost eliminated organ failure in the pulmonary, renal, gastrointestinal, and neurologic systems. However, depressed postoperative myocardial performance remained the most common cause of operative mortality well into the second decade of open heart surgery. Postoperative myocardial failure was the sole cause of mortality in one report of mitral valve surgery.6

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Authors and Affiliations

  1. Division of Cardiopulmonary Surgery, University of Oregon Health Sciences Center, Portland, Oregon, 97201, USA

    Bradley J. Harlan M.D. (Associate Professor of Surgery) & Albert Starr M.D. (Professor of Surgery and Chief)

  2. Medical Illustrator, 9101 S. W. 15th Avenue, Portland, Oregon, 97219, USA

    Fredric M. Harwin B.F.A., M.S.

Authors
  1. Bradley J. Harlan M.D.
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  2. Albert Starr M.D.
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  3. Fredric M. Harwin B.F.A., M.S.
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© 1980 Springer-Verlag New York, Inc.

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Harlan, B.J., Starr, A., Harwin, F.M. (1980). Myocardial Preservation. In: Manual of Cardiac Surgery. Comprehensive Manuals of Surgical Specialties. Springer, New York, NY. https://doi.org/10.1007/978-1-4684-0076-2_6

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  • DOI: https://doi.org/10.1007/978-1-4684-0076-2_6

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4684-0078-6

  • Online ISBN: 978-1-4684-0076-2

  • eBook Packages: Springer Book Archive

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