Abstract

The vast majority of cardiac surgical procedures are carried out using aortic cross-clamping and cardioplegie arrest [1]. Although alternate approaches such as operating on the normothermic empty beating heart, intermittent aortic cross-clamping or hypothermic ventricular fibrillation can be successfully utilized, the ability to carry out a meticulous and complete surgical procedure is generally best accomplished with the heart bloodless and still. Protective strategies in cardiac surgery are directed at both minimizing and reversing myocardial injury, which may occur not only secondary to ischemia induced with aortic cross-clamping, but also at the time of reperfusion. The ability to protect and resuscitate the heart from ischemic/reperfusion injury is of particular importance in patients with severe or complex disease, acute ischemia and/or compromised ventricular function.

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