Journals / Harran Üniversitesi Tıp Fakültesi Dergisi / 2014 / Cilt: 11 - Sayı: 3

Pediatric Miyocardial Protection

Pediatrik Miyokard Korunması

Pages
271–279
Publication Date
2014-12-15
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Features of pediatric heart and its preservation are discussed in this article.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:The basic principles of the protection of myocardium with diastolic electromechanical arrest, ventricular decompression and hypothermia purpose of providing an environment bloodless and safely extend the duration of myocardial ischemia.
📊
Key Findings & Data:Pediatric cardiac surgery as well as Adult cardiac surgery, inadequate protection of the myocardium is an important cause of morbidity and mortality.
💡
Conclusion & Impact:Features of pediatric heart and its preservation are discussed in this article.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Pediatri · miyokard · kardiyopleji

Abstract

The basic principles of the protection of myocardium with diastolic electromechanical arrest, ventricular decompression and hypothermia purpose of providing an environment bloodless and safely extend the duration of myocardial ischemia. Pediatric cardiac surgery as well as Adult cardiac surgery, inadequate protection of the myocardium is an important cause of morbidity and mortality. Myocardial protection is a complex procedure and applied with surgeon, the anesthesiologist, and perfusionist. Features of pediatric heart and its preservation are discussed in this article.

Özet

Miyokard korunmasında temel prensipler elektromekanik diastolik arrest, ventrikül dekompresyonu ve hipoterminin amacı, kansız bir ortam sağlamak ve miyokardın iskemi süresini güvenli bir şekilde uzatmaktır. Pediatrik kalp cerrahisinde, erişkin kalp cerrahisinde olduğu gibi myokardın yetersiz korunması önemli bir morbidite ve mortalite nedenidir. Miyokard koruması cerrah, anestezist ve perfüzyonistin birlikte uygulanan karmaşık bir işlemdir. Bu yazıda pediatrik kalbin özellikleri ve onun korunması tartışıldı.

🔖

Cite This Article

HAZAR, A., GÖZ, M., AYDIN, M. S., KOÇARSLAN, A. (2014). Pediatric Miyocardial Protection. Harran Üniversitesi Tıp Fakültesi Dergisi, Cilt: 11 - Sayı: 3, 271–279. https://ajindex.com/articles/109716

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (14)

  1. Hammon JW. Myocardial protection in the immature heart. Ann Thorac Surg. 1995;60: 839–42
  2. Murphy CE, Salter DR, Morris JJ, et al. Age-related differences in adenine nucleotide metabolism during in vivo global ischemia. Surg Forum. 1986;37:288 –90
  3. Imura H, Caputo M, Parry A, Pawade A, Angelini GD, Suleiman MS. Age-Dependent and Hypoxia-Related Differences in Myocardial Protection During Pediatric Open Heart Surgery,Circulation. 2001;103:1551-6
  4. Wittnich C, Belanger MP, Bandali KS. Newborn hearts are at greater 'metabolic risk' during global ischemia – advantages of continuous coronary washout Can J Cardiol 2007;23(3):195-200
  5. Buckberg GD. Studies of hypoxemic/roxigenasyon injury; Lincage between cardiac function and oxidant damage. J Thorac Cardiovasc Surg 1995;110:1164-70
  6. Allen BS, Rahman SK, İlbawi M, Feinberg H, Bolling KS, Kronon M.The detrimental effects of cardiopulmoner bypass in cyanotic in cyanotic infants: preventing the reoxygenasyon injury. Ann Thorac Surg 1997;64:1381-8 7) Durandy Y. Pediatric myocardial protection. Curr Opin Cardiol. 2008 Mar;23(2):85-90
  7. Rezkalla SH, Kloner RA. No-Reflow phenomenon Circulation 2002;105:656-62
  8. Heyndrickx GR, Millard RW, McRitchie RJ, Maroko PR, Vatner SF. Regional myocardial functional and electrophysiological alterations after brief coronary artery occlusion in conscious dogs. J. Clin. Invest. 1975; 56:978-85
  9. Kloner RA, Ellis SG, Lange R, Braunwald E. Studies of experimental coronary artery reperfusion: effectson infarct size, myocardial function, biochemistry, ultrastructure and microvascular damage. Circulation. 1983; 68(Suppl. I):8-15
  10. Braunwald E, Kloner RA. The stunned myocardium: Prolonged, postischemic ventricular dysfunction. Circulation. 1982; 66:1146-9
  11. Reimer KA, Hill ML, Jennings RB. Prolonged depletion of theadenine nucleotide pool due to delayed resynthesis of adenine nucleotides following reversible myocardial ischemic injury in dogs. J. Mol. Cell. Cardiol. 1981;13:229-39
  12. Myers ML, Bolli R, Lekich RF, Hartley CJ, Roberts R. Enhancement of recovery of myocardial function by oxygen free-radical scavengers after reversible regional ischemia. Circulation. 1985; 72:915-21
  13. Przyklenk K, Kloner RA. Superoxide dismutase plus c a t a l a s e i m p r o v e c o n t r a c t i l e f u n c t i o n inthecaninemodelofthe "stunned" myocardium. Circ. Res.1986; 58:148-56
  14. Myers ML, Bolli R, Lekich RF, Hartley CJ, Roberts R. N-2-mercaptopropionylglycine improves