Intraoperative Assessment of the Stunned versus Infarcted Myocardium with the Simultaneous Use of Transesophageal Echocardiography and the Measurement of Myocardial pH: Two Case Studies

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Abstract
The ability to differentiate intraoperatively between myocardial stunning, which is reversible, and irreversible myocardial infarction has major implications because it provides a rational approach to the use or withholding of ventricular assist devices in patients with severe postcardiotomy ventricular dysfunction. Two illustrative cases are presented.

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