Abstract
Hypothermic fibrillatory arrest without aortic occlusion is a technique of myocardial preservation that has been utilized for many years in cardiac surgery. In our institution the basic tenets of this method of myocardial preservation were developed in the late 1960s by Dr. Eldred Mundth and associates during the initiation of coronary artery bypass grafting [1]. During the 1970s several modifications in the technique were made as better understanding of myocardial protection evolved.
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References
Mundth ED, Harthorne JW, Buckley MJ et al. Direct coronary arterial revascularization for segmental occlusive disease. Surgery 1970; 61: 168–81.
Hottenrot C, Maloney JV, Buckberg G. Studies of the effects of ventricular fibrillation on the adequacy of regional myocardial blood flow. I Electrical vs. spontaneous fibrillation. J Thorac Cardiovasc Surg 1974; 68: 615–25.
Hottenrot C, Buckberg G. Studies of the effects of ventricular fibrillation on the adequacy of regional myocardial blood flow. II. Effects of ventricular distension. J Thorac Cardiovasc Surg 1974; 68: 626–33.
Vinas JF, Fewel JO, Arom KV et al. Effects of systemic hypothermia on myocardial metabolism and coronary blood flow in the fibrillating heart. J Thorac Cardiovasc Surg 1979; 77: 900–7.
Baird RJ, Dutka F, Okumori M et al. Surgical aspects of regional myocardial blood flow and myocardial pressure. J Thorac Cardiovasc Surg 1975; 69: 17–29.
Cox JL, Anderson RW, Pass HI et al. The safety of induced ventricular fibrillation during cardiopulmonary bypass in nonhypertrophied hearts. J Thorac Cardiovasc Surg 1977: 74: 423–32.
Spadoro J, Bing OHL, Gaasch WH et al. Effects of perfusion pressure on myocardial performance, metabolism, wall thickness, and compliance. J Thorac Cardiovasc Surg 1982; 84: 398–405.
Horneffer PJ, Gott VL, Gardner TJ. Reperfusion before global ischemic arrest improves the salvage of infarcting myocardium. Ann Thorac Surg 1985; 40: 504–8.
Horneffer PJ, Gott VL, Gardner TJ. The deleterious effect of global ischemia on an evolving myocardial infarction. Surg Forum 1984; 35: 308–11.
Krukenkamp I, Badellino M, Levitsky S. Effects of ischemic ventricular fibrillation on myocardial mechanics and energetics in the porcine heart. Surg Forum 1990; 41: 239–40.
Yaku H, Goto Y, Futaki S et al. Ventricular fibrillation does not depress postfibrillatory contractility in blood-perfused dog hearts. J Thorac Cardiovasc Surg 1992; 103: 514–20.
Bradley SM, Hanley FL, Duncan BW. Regional myocardial blood flow during cardiopulmonary bypass in the fetal lamb. Surg Forum 1990; 41: 203–5.
Magovern GJ, Bolling ST, Casal AS et al. The mechanism of mannitol in reducing ischemic injury: hyperosmolarity or hydroxyl scavenger? Circulation 1984: 70(Suppl I): I-91-I-95.
Scott JA, Khaw BA, Locke EJ et al. The role of free radical-mediated processes in oxygen-related damage in culture murine myocardial cells. Circ Res 1985; 56: 72–7.
Grotte GJ, Levine FH, Kay HR et al. Effect of ventricular fibrillation and potassium-induced arrest on myocardial recovery in hypothermic hearts. Surg Forum 1980; 31: 2968.
Bartel AG, Behar VS, Peter RH et al. Effects of aortocoronary bypass surgery on treadmill exercise. Circulation 1973; 48: 141–48
Cukingnan RA, Carey JS, Wittig JH et al. Influence of complete revascularization on relief of angina. J Thorac Cardiovasc Surg 1980; 79: 188–93.
Loop FD, Cosgrove DM, Lytle BW et al. An-year evolution of coronary arterial surgery (1967–1978). Ann Surg 1979; 190: 444–55.
Kirklin JW, Naftel DC, Blackstone EH et al. Summary of a consensus concerning death and ischemic events after coronary artery bypass grafting. Circulation 1989; 79(Suppl I): I-81-I-91.
Sergeant P, Lesaffre E, Flameng W et al. Internal mammary artery: Methods of use and their effect on survival. Eur J Cardiothorac Surg 1990; 4: 72–8.
Akins CW. Noncardioplegic myocardial preservation for coronary revascularization. J Thorac Cardiovasc Surg 1984; 88: 174–81.
Akins CW. Resection of left ventricular aneurysm during hypothermic fibrillatory arrest without aortic occlusion. J Thorac Cardiovasc Surg 1986; 91: 610–8.
Akins CW. Early and late results following emergency isolated myocardial revascularization during hypothermic fibrillatory arrest. Ann Thorac Surg 1987; 43: 131–7.
Akins CW, Carroll DL. Event-free survival following nonemergency myocardial revascularization during hypothermic fibrillatory arrest. Ann Thorac Surg 1987; 43: 628–33.
Akins CW, Block PC, Palacios IF et al. Comparison of coronary artery bypass grafting and percutaneous transluminal coronary angioplasty as initial treatment strategies. Ann Thorac Surg 1989; 47: 507–16.
Akins CW. Myocardial preservation with hypothermic fibrillatory arrest for coronary grafting. J Mol Cell Cardiol 1990; 22: S44.
Akins CW. Repeat coronary operation in the presence of patent but atherosclerotically diseased vein bypass grafts. In Engelman RM, Levitsky, S (eds):.A Textbook of Cardioplegia for Difficult Clinical Problems. Mount Kisco, NY: Futura Publishing Company, Inc. 1992; 71–81.
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© 1993 Springer Science+Business Media Dordrecht
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Akins, C.W. (1993). Cardiac arrest by ventricular fibrillation. In: Piper, H.M., Preusse, C.J. (eds) Ischemia-reperfusion in cardiac surgery. Developments in Cardiovascular Medicine, vol 142. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-1713-5_11
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DOI: https://doi.org/10.1007/978-94-011-1713-5_11
Publisher Name: Springer, Dordrecht
Print ISBN: 978-94-010-4750-0
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