Key result
The ideal myocardial protection strategy in adult cardiac surgery remains elusive despite the widespread adoption of cold potassium-based cardioplegia.
Why the study?
While cold potassium-based cardioplegia has been widely adopted with good results, the ideal myocardial protection strategy in open heart surgery remains elusive.
Does del Nido cardioplegia improve myocardial protection in adult cardiac surgery compared to standard cold potassium-based cardioplegia?
Does del Nido cardioplegia improve myocardial protection in adult cardiac surgery compared to standard cold potassium-based cardioplegia?
This paper discusses the potential role of del Nido cardioplegia as an alternative strategy for myocardial protection during adult open heart surgery.
Current evidence leaves optimal cardioplegia open in adults; further randomized trials of del Nido are needed before adoption.
Myocardial protection is essential in performing successful open heart surgery. Indeed, hypothermia, potassium induced arrest and ventricular offloading are major concepts that have improved surgical results in the last decades. The cold potassium-based cardioplegia given in a single induction dose followed by intervals doses have been adopted by many in their daily practice with good results. However, the ideal myocardial strategy remains elusive.
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Luo et al. (2019) conducted an editorial in Adult cardiac surgery. del Nido cardioplegia was evaluated. The ideal myocardial protection strategy in adult cardiac surgery remains elusive despite the widespread adoption of cold potassium-based cardioplegia.
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