Staged systemic hyperkalemia and deep hypothermia for myocardial protection in mini-thoracotomy reintervention: Preserving patency in post-CABG patent grafts

Manoj Sadasivan, Rajesh M Ramankutty, Jecco Ani Babu, Nisha Joseph Pattani, Sari Sankaran Lilli, Jose Sasidharan Lilli, Aiswarya Mohan, Thoracic Surgery, Caritas Hospital , Institute of Health Sciences, Cardiac Anaesthesiology, Caritas Hospital , Institute of Health Sciences, Public Health, Caritas Hospital , Institute of Health Sciences

Perfusion

Published online on August 16, 2025

Abstract

Perfusion, Volume 41, Issue 4, Page 478-484, May 2026.
BackgroundTraditional cardioplegia strategies often fail in cases with patent coronary grafts due to continuous myocardial perfusion, this necessitates for alternate approaches such as systemic hyperkalemic cardiac arrest. During redo cardiac surgeries, a ...