Myocardial Protection with Cardioplegia in Patients with Severe CAD

  • J. Mulch
  • H. H. Scheld
  • H. Kölbel
  • G. Fraedrich
  • F. W. Hehrlein
Conference paper


Homogeneous cardioplegic perfusion and rapid cooling of the myocardium are mandatory for effective myocardial protection during induced cardiac arrest. In addition the aortic root pressure during cardioplegic perfusion should not exceed 50 mmHg when the heart is arrested. In clinical practice cardioplegia is most frequently used in patients with coronary stenoses, in whom problems in cardioplegia distribution and rate of cooling have been proven. The attempt to achieve higher flow of cardioplegia past coronary stenoses and thereby a better distribution by increasing the driving pressure may cause regional edema in areas with unobstructed coronary arteries.


Leave Anterior Descend Myocardial Protection Coronary Stenos Cardioplegic Solution Myocardial Temperature 
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Copyright information

© Springer-Verlag Berlin Heidelberg 1984

Authors and Affiliations

  • J. Mulch
  • H. H. Scheld
  • H. Kölbel
  • G. Fraedrich
  • F. W. Hehrlein

There are no affiliations available

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