Cardioplegia strategies in ALCAPA surgery: A narrative review on practical comparison of techniques
Youssef El Dsouki, Gopikrishnan Thalapathy, Ignazio Condello · 2026
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Description
In the rare birth defect ALCAPA, the left coronary artery plugs into the lung artery instead of the aorta, starving the heart muscle. El Dsouki, Thalapathy, and Condello review how surgical teams protect the heart while moving that artery to its proper root. They gather operative videos, tutorials, and center protocols, and they compare the three protection styles in widest use.
One uses a single cold dose through both great arteries, one pairs cold blood with direct feeding of the left artery opening, and one repeats warm blood doses on a set schedule. For each they give setup, pressures, dosing, and tips for handling early heart activity from collateral flow.
Catalog record
| CREATOR | Youssef El Dsouki, Gopikrishnan Thalapathy, Ignazio Condello |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 26 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |