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Myocardial revascularization without cardioplegia, intra-aortic baloon or Swan-Ganz catheter

From 1974 to December 1987, 620 patients were submitted to myocardial revascularization, with 28 deaths, 4.5% mortality. Nineteen patients received associated procedures: 14 ventricular aneurysmectomy and 5 valvular prosthesis. The method of myocardial protection was intermitent clamping of the aorta, topical and body hypothermia of 30ºC. From this experience we conclude that this method offers a satisfactory myocardial preservation.

myocardial revascularisation; myocardial preservation


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