Blood cardioplegia infusion using a recirculation type circuit generates bradykinin in significant amounts during open heart surgery

Takashi Watanabe, Yoshimasa Sakai, Tsuyoshi Shimomura, Min Ho Song, Ken Miyahara, Yasushi Takagi, Yasutoshi Oohara, Yoshitaka Kawaradani, Akihiko Usui, Takashi Maseki, Kenzo Yasuura, Mitsuya Murase

Research output: Contribution to journalArticlepeer-review

Abstract

The single pass type (SP) of blood cardioplegia is commonly used in North America during open heart surgery. However the recirculation type (RC) of blood cardioplegia is still widely used in other areas including Japan. Infusion blood cardioplegia using the latter technique often decreases the perfusion pressure. To determine the cause for this, blood levels of bradykinin (BK) were measured in cardiopulmonary bypass (CPB) and the 2 types of blood cardioplegic circuits. As the BK levels in the RC cardioplegia (>3,000 pg/ml) rose, the perfusion pressure decreased abruptly with the increase of the BK levels in the CPB circuit. With SP cardioplegia, the BK level was not increased either during cardioplegia (p < 0.009) or CPB (p < 0.009), and the perfusion pressure was not decreased (p < 0.02). We concluded that the SP circuit is superior to the RC one because of the lesser production of BK and thus lesser fluctuation of perfusion pressure.

Original languageEnglish
Pages (from-to)1087-1090
Number of pages4
JournalArtificial Organs
Volume21
Issue number10
DOIs
Publication statusPublished - 1997
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Bioengineering
  • Medicine (miscellaneous)
  • Biomaterials
  • Biomedical Engineering

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