Article Abstract

Different strategies of myocardial protection: the age of perfectionism

Authors: Emanuela Angeli, Sabrina Lueck, Gaetano Domenico Gargiulo


Intraoperative myocardial protection obtained with administration of cardioplegia is one of the crucial aspects that determine the success of modern cardiac surgical procedures. After the onset of “elective” ischemia a cascade of biochemical reactions starts: due to reduced oxygen availability contractile failure of the myocardium can be observed leading to a stimulation of anaerobic metabolism.