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Charnaia M.A.

RNTsKh im. akad. B.V. Petrovskogo RAMN, Moskva

Morozov Iu.A.

RNTsKh im. akad. B.V. Petrovskogo RAMN, Moskva

Uriuzhnikov V.V.

RNTsKh im. akad. B.V. Petrovskogo RAMN, Moskva

Goncharova A.V.

Petrovsky National Research Centre of Surgery, 119991, Abrikosovsky, 2, Moscow, Russia

Paliulina M.V.

Rossiĭskiĭ nauchnyĭ tsentr khirurgii im. akad. B.V. Petrovskogo RAMN, Moskva

Myocardial metabolism in operations under parallel artificial circulation

Authors:

Charnaia M.A., Morozov Iu.A., Uriuzhnikov V.V., Goncharova A.V., Paliulina M.V.

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Journal: Russian Journal of Cardiology and Cardiovascular Surgery. 2012;5(3): 68‑70

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To cite this article:

Charnaia MA, Morozov IuA, Uriuzhnikov VV, Goncharova AV, Paliulina MV. Myocardial metabolism in operations under parallel artificial circulation. Russian Journal of Cardiology and Cardiovascular Surgery. 2012;5(3):68‑70. (In Russ.)

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Indices reflecting myocardial metabolism in coronary bypass grafting were analyzed in patients operated under artificial circulation and pharmacologic cold cardioplegia or under parallel artificial circulation on working heart. It is estimated that myocardial revascularization under complete artificial circulation is accompanied by metabolism disturbances in myocardium to a greater extent compared with application of parallel artificial circulation without cross-clamping of aorta that doesn't lead to significant activation of lipid peroxidation in myocardium indicating the absence and/or quicker restoration of aerobic myocardial metabolism.

Keywords:

coronary bypass grafting
myocardial metabolism
lipid peroxidation
artificial circulation
pharmacologic cold cardioplegia

Authors:

Charnaia M.A.

RNTsKh im. akad. B.V. Petrovskogo RAMN, Moskva

Morozov Iu.A.

RNTsKh im. akad. B.V. Petrovskogo RAMN, Moskva

Uriuzhnikov V.V.

RNTsKh im. akad. B.V. Petrovskogo RAMN, Moskva

Goncharova A.V.

Petrovsky National Research Centre of Surgery, 119991, Abrikosovsky, 2, Moscow, Russia

Paliulina M.V.

Rossiĭskiĭ nauchnyĭ tsentr khirurgii im. akad. B.V. Petrovskogo RAMN, Moskva

List of references:

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  2. Bilenko M.V. Ishemicheskie i reperfuzionnye povrezhdeniya organov (molekulyarnye mekhanizmy, puti preduprezhdeniya i lecheniya). M: Meditsina 1989; 368.
  3. Gabrielyan N.I. Skriningovyi metod opredeleniya srednikh molekul v biologicheskikh zhidkostyakh. Metodicheskie rekomendatsii NIIT i IO MZ SSSR. M 1985; 32.
  4. Zatsepina N.E. Vliyanie iskusstvennogo krovoobrashcheniya na perekisnoe oksilenie lipidov: Avtoref. dis. ... kand. med. nauk. M 2001; 31.
  5. Korobeinikova E.N. Modifikatsiya opredeleniya produktov perekisnogo okisleniya lipidov v reaktsii s tiobarbiturovoi kislotoi. Lab delo 1989; 7: 8-9.
  6. Lokhnev A.A., Kondrashov K.V., Levit A.L. Nuzhna li kardioplegiya pri operatsii pryamoi revaskulyarizatsii miokarda? Patol krovoobrashch i kardiokhir 2011; 1: 49-52.
  7. Charnaya M.A., Morozov Yu.A., Uryuzhnikov V.V., Goncharova A.V. Dinamika kontsentratsii troponina T i mioglobina pri razlichnykh vidakh operatsii koronarnogo shuntirovaniya. Grudnaya i serdechno-sosud khir 2009; 3: 54-56.
  8. Asimakopoulos G., Smith PL., Ratnatuuga CP., Taylor K.M. Lung injury and acute respiratore distress syndrome after cardiopulmonary bypass. Ann Thorac Surg 1999; 68: 3: 1107-1115.
  9. Ferrari R., Ceconi C., Curello S. et al. Occurrence of oxidative stress during myocardial reperfusion. Mol Cell Biochem 1992; 111: 61-69.
  10. Garden DL., Granger D.N. Pathophysiology of ischaemia-reperfusion injury. J Pathology 2000; 190: 255-266.
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  12. Prasad K. Increased oxygen free radical activity in patients on cardiopulmonary bypass undergoing aortocoronary bypass. Am Heart J 1992; 123: 1: 37-45.
  13. Prasad M.R., LuiX.K., Ronson J.A. et al. Reduced free radical generation during reperfusion of hypothermically arrested hearts. Mol Cell Biochem 1992; 111: 97-102.

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