000			02956cam a2200349 a 4500
003			EG-GiCUC
005			20250223032753.0
008			210626s2020 ua dh f m 000 0 eng d
040			_aEG-GiCUC _beng _cEG-GiCUC
041	0		_aeng
049			_aDeposite
097			_aPh.D
099			_aCai01.11.05.Ph.D.2020.Ih.C
100	0		_aIhab Muhammad Ragab Alaqtash
245	1	0	_aComparison between bretschneider-HTK cadioplegia and cold blood cardioplegia as a method for myocardial protection in thoracic aortic surgery / _cIhab Muhammad Ragab Alaqtash ; Supervised Said Abdelaziz Badr , Maged Salah Muhammad , Ahmed Abdelaziz Elsharkawy
246	1	5	_aمقارنة بين محلول ببر تشنيدر ومحلول الدم البارد كوسيلة لجماية القلب فى جراحات الشريان الاورطى الصدرى
260			_aCairo : _bIhab Muhammad Ragab Alaqtash , _c2020
300			_a114 P. : _bcharts , facsimiles ; _c25cm
502			_aThesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Cardiothoracic Surgery
520			_aBackground : Myocardial protection has a major impact on the postoperative outcome of patients undergoing cardiac surgery with the use of extracorporeal circulation . Myocardial protection is mainly achieved by administration of cardioplegic solution ,Therefore it is essential to achieve an adequate and effective method of cardioplegia. Methods : We evaluate post-operative cardiac Troponin I (cTnI) release, low cardiac output syndrome (LCOS) and mortality, using a cold crystalloid single- dose intracellular or cold blood multidose cardioplegia in 100 elective or emergent thoracic aorta operation patients. Fifty patients (HTK group) received Custodiol cardioplegic solution and fifty received cold blood cardioplegia (CB group). Results: cTnI peak release , duration of inotropic support & intensive care unit (ICU) stay was more in the cold blood group . Hemofiltration and intraoperative requirement of blood products transfusion was more in the HTK group. No differences were found for Cross-clamp time, cardiopulmonary bypass (CPB) , atrial and ventricular arrhythmias, postoperative ejection fraction (EF) & LCOS and in-hospital mortality. Conclusion: HTK and CB cardioplegic solutions assure good myocardial protection in patients undergoing thoracic aorta operations. In long cross-clamp times, the lower post-operative cTnI release detected using HTK may be indicative of a better myocardial protection in these extreme conditions
530			_aIssued also as CD
653		4	_aAortic operation
653		4	_aCardioplegia
653		4	_aMyocardial protection
700	0		_aAhmed Abdelaziz Elsharkawy , _eSupervisor
700	0		_aMaged Salah Muhammad , _eSupervisor
700	0		_aSaid Abdelaziz Badr , _eSupervisor
856			_uhttp://172.23.153.220/th.pdf
905			_aNazla _eRevisor
905			_aShimaa _eCataloger
942			_2ddc _cTH
999			_c81398 _d81398