INTRODUCTION
low cardiac output syndrome, arrest
DEL, ARREST, COMPLICATIONS, LOW CARDIAC OUTPUT SYNDROME
Myocardial protection is typically achieved via cardioplegic arrest. Several variables affect myocardial protection, including the type of crystalloid solution, mixing with blood, dose and frequency of delivery, and temperature. Sound protection and a technically adequate repair are cornerstones of surgery. Minimizing the risk of low cardiac output syndrome through adequate myocardial protection has a positive knock-on effect for other short and longer-term complications [Surgical results have improved due to gains in all perioperative and intraoperative domains. However, variability in practice suggests the optimum method is unknown. Specifically regarding cardioplegia, North American centres favour the del Nido solution, whereas in the UK, St Thomas’ solution is preferred [Building on previous work, we developed an interest in techniques related to cardiopulmonary bypass (CPB) and myocardial protection [