There are no differences in platelet drop postoperatively. C. Visser Bsc. In eerste instantie maakte hypothermie geen deel uit van de myocard protectie. Deze techniek had echter als complicatie het optreden van myocardnecrose, veroorzaakt door een toxische concentratie van citraat. Pilot Study Myocardial protection remains an important, much discussed subject in cardiac surgical practice.
Literature describes different methods.
Following a defined protocol, a syringepump is set to deliver the highly concentrated potassiumsolution in the bloodcardioplegia line. This method of protecting the heart during aortic crossclamping appears to be more effective then cold crystalloid cardioplegia. However, using a defined BCF can be at a disadvantage because this method does not take into consideration the myocardial mass and functional status of the heart. Also, the mediastinal blood loss within the initial 20 hours after surgery, and the blood transfusion requirements were monitored. There was no significant difference in plasma AT-III activity and platelet count between both groups.