Comparison of Del Nido cardioplegia St. Thomas cardioplegia in adult coronary artery bypass surgery: our early experience Dr Dixit Sunil Department of CT surgery, S. M. S. Medical College, Jaipur Online published on 7 December, 2019. Abstract The convenience offered by a single-dose cardioplegia strategy is the avoidance of interruption of the flow of surgery and, more importantly, a significant reduction in the cross-clamp time. Del Nido cardioplegia is an extracellular cardioplegic solution which serves these purposes and has been used successfully in paediatric cardiac surgery. In recent literature many reports showed their clinical experiences with Del Nido (DN) cardioplegia in adult cardiac surgery with good outcomes. Material and methods Our study comprises of 100 patients who underwent elective coronary artery bypass grafting (CABG) surgery since January 2017. These patients were divided equally into two groups based on the type of cardioplegia used. We compared the aortic cross-clamp (ACC) time, cardiopulmonary bypass (CPB) time, total surgical time, requirement of intraoperative DC shocks, and postoperative behaviour in the two groups. Results The ACC time, CPB time, total surgical time were shorter with DN group (82vs104min;104 vs 138 min, and 2.4 vs 3.2 hrs respectively). In all cases of DN group single dose was used while in ST group 4–6 cardioplegia doses were used. Intraoperative and Postoperative behaviour was good in DN group patients. Conclusions The DN cardioplegia can and should be used in adult CABG surgery as it can lead to shorter ACC, CPB and surgical time, and may be better m better postoperative behaviour. Top Keywords Del Nido cardioplegia, St. Thomas solution. Top |