PMID- 8054768
OWN - NLM
STAT- MEDLINE
DCOM- 19940913
LR  - 20190920
IS  - 0941-1291 (Print)
IS  - 0941-1291 (Linking)
VI  - 24
IP  - 1
DP  - 1994
TI  - The effect of myocardial preservation technique on supraventricular tachycardia 
      following aortic valve replacement.
PG  - 1-5
AB  - We studied 100 patients who underwent an isolated aortic valve replacement (AVR) 
      between 1974 and 1991. The patients were divided into the following two groups 
      and compared: group A, which consisted of 40 patients operated on before 1978 who 
      underwent continuous left coronary perfusion with blood; and group B, which 
      consisted of 60 patients operated on after 1979 in whom St. Thomas solution was 
      used in combination with topical cardiac cooling. Moreover, we divided the group 
      B patients into two subgroups: group B1, who underwent AVR before 1986 during 
      which we administered St. Thomas solution with ice slush every 30 min; and group 
      B2, who had AVR after 1986 in which we used St. Thomas solution with a cold 
      saline (4 degrees C) solution and treated with a small amount of slushed ice very 
      15 min. The incidence of supraventricular tachycardias was 15% in group A, 50% in 
      group B1, and 15% in group B2. The severity of preoperative New York Heart 
      Association (NYHA) functional class, the type of valve lesions, cardiothoracic 
      ratio, left ventricular function, aortic clamp time, bypass time, and use of 
      drugs did not correlate with the incidence of supraventricular tachycardias in 
      either group A or B. In group B2 patients, we paid a lot of attention to cooling 
      the right atrium as well as the left ventricle by immersing the whole heart using 
      a 4 degrees C saline solution, which led to a remarkable reduction of the 
      incidence of supraventricular tachycardia. This fact indicates that right atrial 
      preservation is one of the most important factors for reducing the incidence of 
      supraventricular tachycardia.
FAU - Shigenobu, M
AU  - Shigenobu M
AD  - Department of Cardiovascular Surgery, Okayama University Medical School, Japan.
FAU - Teramoto, S
AU  - Teramoto S
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PL  - Japan
TA  - Surg Today
JT  - Surgery today
JID - 9204360
RN  - 0 (Bicarbonates)
RN  - 0 (St. Thomas' Hospital cardioplegic solution)
RN  - 451W47IQ8X (Sodium Chloride)
RN  - 660YQ98I10 (Potassium Chloride)
RN  - I38ZP9992A (Magnesium)
RN  - M4I0D6VV5M (Calcium Chloride)
SB  - IM
MH  - Aortic Valve/*surgery
MH  - Bicarbonates/administration & dosage
MH  - Blood
MH  - Calcium Chloride/administration & dosage
MH  - Female
MH  - Heart Arrest, Induced/adverse effects/*methods
MH  - *Heart Valve Prosthesis
MH  - Humans
MH  - Hypothermia, Induced
MH  - Magnesium/administration & dosage
MH  - Male
MH  - Middle Aged
MH  - Myocardial Reperfusion
MH  - Postoperative Complications/prevention & control
MH  - Potassium Chloride/administration & dosage
MH  - Sodium Chloride/administration & dosage
MH  - Tachycardia, Supraventricular/*etiology/physiopathology/prevention & control
EDAT- 1994/01/01 00:00
MHDA- 1994/01/01 00:01
CRDT- 1994/01/01 00:00
PHST- 1994/01/01 00:00 [pubmed]
PHST- 1994/01/01 00:01 [medline]
PHST- 1994/01/01 00:00 [entrez]
AID - 10.1007/BF01676876 [doi]
PST - ppublish
SO  - Surg Today. 1994;24(1):1-5. doi: 10.1007/BF01676876.