Terje S. Larsen, PhD, Øivind Irtun, MD PhD, Terje K

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Myocardial Substrate Oxidation During Warm Continuous Blood Cardioplegia  Terje S. Larsen, PhD, Øivind Irtun, MD PhD, Terje K. Steigen, MD PhD, Thomas V. Andreasen, Dag Sørlie, MD PhD  The Annals of Thoracic Surgery  Volume 62, Issue 3, Pages 762-768 (August 1996) DOI: 10.1016/S0003-4975(96)00459-6 Copyright © 1996 The Society of Thoracic Surgeons Terms and Conditions

Fig. 1 Cardiopulmonary circuit and the cardioplegic circuit for continuous warm blood cardioplegia. The cardioplegic solution consisted of 200mL of St. Thomas’ solution mixed with 800mL of blood from a donor pig (final hematocrit, 22%). Heparin was added to a final concentration of 5,000IU/L, and potassium was adjusted to 24mmol/L. (Inf. v.cava = inferior vena cava; LA = left atrium; RA = right atrium; Sup. v.cava = superior vena cava.) The Annals of Thoracic Surgery 1996 62, 762-768DOI: (10.1016/S0003-4975(96)00459-6) Copyright © 1996 The Society of Thoracic Surgeons Terms and Conditions

Fig. 2 Concentrations of glucose (A), total free fatty acids (B), lactate (C), and oleate (D) in the cardioplegic perfusate during 4 hours of warm continuous blood cardioplegia. The perfusate was composed as described in Figure 1. Note lack of arterial-coronary sinus difference for glucose and lactate. Results are mean±standard error of the mean (n = 8). The Annals of Thoracic Surgery 1996 62, 762-768DOI: (10.1016/S0003-4975(96)00459-6) Copyright © 1996 The Society of Thoracic Surgeons Terms and Conditions