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Aspects associated with cardiac surgical procedures that lead to myocardial damage contain the duration of cross clamping and cardiopulmonary bypass; opportunity occlusion of a graft; the character, temperature and adequacy from the cardioplegia; using cardiopulmonary bypass itself (owing to activation of platelets, enhance and cytokines); immediate trauma to the heart; coronary artery or venous graft embolism; and other troubles on the course of action.114