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:
2
Q
What are the management options for reoperation with a live intramammary artery (IMA) graft?
A
- Direct pedicle clamping
- continuous retrograde cardioplegia without IMA control
- DHCA with an unclamped LIMA
- supraclavicular or endovascular control of the LIMA
- Leave LIMA flow intact + systemically cool to 28-32 C