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P G Gannon

Publications and source records attributed to P G Gannon.

7 recordsLinked to original sources
PubMed1985

Comparison of crystalloid and sanguineous cardioplegic solutions in the dog.

Myocardial protection provided by 2 types of cold cardioplegic solution and by cold saline solution was compared experimentally in dogs on cardiopulmonary bypass. Techniques and solutions used simulated clinical conditions. Serial biopsies of myocardium were assayed for adenosine triphosphate, adenosine diphosphate, and adenosine monophosphate. Maintenance and recovery of each phosphate was calculated as a percentage of the prebypass value for each type of solution; these values were used to compare the myocardial protection afforded by the 3 solutions. A difference in these values was not observed between the 2 types of cardioplegic solution; both values were greater than for the control solution, which may indicate improved myocardial protection with cardioplegic arrest.

Adenosine Diphosphate↗
PubMed1981

Predictors of perioperative myocardial infarction in coronary artery operation.

Postoperative graft patency and thirteen perioperative variables were evaluated as potential risk factors for perioperative myocardial infarction (MI) in 102 consecutive patients undergoing coronary artery bypass grafting. Also, the incidence of perioperative MI and the amount of CK-MB released in the postoperative period were compared in three groups of patients selected according to the myocardial preservation technique employed: (1) topical hypothermia with and (2) without aortic cross-clamping and (3) cardioplegia. A perioperative MI as detected by electrocardiogram, enzymes, and myocardial scintigraphy with technetium 99 developed in 15 patients. Most important predictors of perioperative MI were found to be (1) left main and triple-vessel coronary artery disease, (2) a left ventricular end-diastolic pressure greater than or equal to 15 mm Hg, (3) a decreased ejection fraction (p < 0.05), and (4) cardiopulmonary bypass time > 120 minutes (p < 0.01). The incidence of perioperative MI was 50% in patients with three or more risk factors and 7% in those with less than three risk factors (p < 0.001). Graft patency was similar in patients with or without perioperative MI. Differing myocardial preservation techniques did not influence CK-MB release or the incidence of perioperative MI. Thus, the severity of ischemic heart disease and the length of the cardiopulmonary bypass time were important predictors of perioperative MI while graft patency and myocardial preservation technique did not appear to be related to its incidence in this study.

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