Cardioprotection Flashcards

1
Q

What problem does a reoperation with a live intramammary artery (IMA) graft cause?

A

a. Washout of delivered cardioplegia

b. Management options:

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2
Q

What are the management options for reoperation with a live intramammary artery (IMA) graft?

A
  1. Direct pedicle clamping
  2. continuous retrograde cardioplegia without IMA control
  3. DHCA with an unclamped LIMA
  4. supraclavicular or endovascular control of the LIMA
  5. Leave LIMA flow intact + systemically cool to 28-32 C
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