Erschienen in:
01.05.2010 | Original article
Apoptosis during CABG surgery with the use of cardiopulmonary bypass is prominent in ventricular but not in atrial myocardium
verfasst von:
W. T. Ruifrok, B. D. Westenbrink, R. A. de Boer, I. J. den Hamer, M. E. Erasmus, H. E. Mungroop, A. H. Epema, A. A. Voors, D. J. van Veldhuisen, W. H. van Gilst
Erschienen in:
Netherlands Heart Journal
|
Ausgabe 5/2010
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Extract
Coronary artery bypass grafting (CABG) surgery with cardiopulmonary bypass (CPB) and cardioplegic arrest is the most commonly used cardiac surgery procedure in the Western world.
1 This procedure is associated with periods of oxygen deprivation and possibly a damaging effect to the
Heart. Restoration of coronary blood flow after release of the aortic cross clamp leads to ischaemia-reperfusion injury. Subsequent production of reactive oxygen species results in cardiomyocyte death due to apoptosis.
2-4 These changes may cause (transient) cardiac dysfunction,
5,6 and therefore limiting the duration of cardioplegic arrest may reduce cell injury. …