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Perfusion
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Review article : Perspectives on myocardial protection: warm heart surgery

Anthony L Panos

Division of Cardiovascular and Thoracic Surgery, St Michael's Hospital and the University of Toronto, and the National Research Council of Canada, Ottawa

Roxanne Deslauriers

Division of Cardiovascular and Thoracic Surgery, St Michael's Hospital and the University of Toronto, and the National Research Council of Canada, Ottawa

Peter L Birnbaum

Division of Cardiovascular and Thoracic Surgery, St Michael's Hospital and the University of Toronto, and the National Research Council of Canada, Ottawa

Tomas A Salerno

Division of Cardiovascular and Thoracic Surgery, St Michael's Hospital and the University of Toronto, and the National Research Council of Canada, Ottawa

Continuous normothermic blood cardioplegia (CNBC), was recently introduced into clinical cardiac surgery and has generated great interest. CNBC represents the evolution of concepts which were initially described in the 1950s but which were forgotten as hypothermia became the main ingredient in all cardioplegic techniques and in heart surgery in general. The historical background to the development of CNBC is presented, as well as a review of the current state of knowledge about normothermic heart surgery. The limitations and pitfalls of the method are highlighted, along with future developments and perspectives.

Perfusion, Vol. 8, No. 4, 287-291 (1993)
DOI: 10.1177/026765919300800402
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