HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): C Saifuddin Kitchlu Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Karaskov, A. M Articles by Lomivorotov, V. N Search for Related Content PubMed PubMed Citation Articles by Karaskov, A. M Articles by Lomivorotov, V. N Related Collections Cardiac - other

Cardiac Surgery Under Perfusionless Hypothermia: Siberian Experience

Department of Cardiac Surgery, Research Institute of Circulation Pathology, 15 Rechkunovskaya str. 630055, Novosibirsk 55, Russia
Vladimir N Lomivorotov, MD Tel: 7 3832 32 4550 Fax: 7 3832 32 4550 e-mail: vlomivorotov{at}hotmail.com Department of Cardiac Surgery, Research Institute of Circulation Pathology, 15 Rechkunovskaya str. 630055, Novosibirsk 55, Russia.

Between January 1995 and December 1999, 942 patients (452 males and 490 females) aged 1 to 51 years underwent definitive surgery under perfusionless hypothermia for correction of congenital heart defects, predominantly uncomplicated ventricular or atrial septal defects (80%). Hypothermia of 24°C to 28°C was achieved in 15 to 45 minutes (mean, 25.7 ± 1.2 minutes) by application of crushed ice over the body and head. Aortic crossclamp time ranged from 10 to 76 minutes (mean, 26.1 ± 0.25 minutes). Cardiac restoration time ranged from 1 to 10 minutes (mean, 2.1 ± 0.08 minutes). Eight patients (0.85%) died postoperatively: 4 from acute cardiac insufficiency, 2 as a consequence of technical faults, 1 from persistent pulmonary hypertension, and 1 had sudden cardiac arrest. None of the surviving patients showed any gross neurological deficit. Perfusionless hypothermic cardiac surgery, when applied appropriately, is safe and simple, and might still have a place in treating a selected group of patients with uncomplicated congenital heart defects.

This article has been cited by other articles:

				T. Sakamoto, T. Asou, Y. Takeda, K. Date, and M. Nanaumi Long-Term Outcome of Intracardiac Repair Under Simple Deep Hypothermia Asian Cardiovasc Thorac Ann, December 1, 2006; 14(6): 458 - 461. [Abstract] [Full Text] [PDF]