The management of descending thoracic aortic aneurysms using heparinless femoral venoarterial bypass. | |
MedLine Citation:
|
PMID: 7226909 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
In an attempt to use the benefits of controlled circulatory bypass, while avoiding systemic heparinization and bypass circuitry placed in the operative field, we used heparinless femoral venoarterial bypass without an oxygenator for resection of aneurysms of the descending thoracic aorta. Since 1974 we have applied this technique on 29 patients with excellent results (survival 27-29, 93 percent). Using PPG tubing, mixed venous blood was drained from the right atrium by way of a long catheter inserted via the femoral vein, and returned to the femoral artery by a roller pump. Advantages include distal aortic perfusion, a safety factor in avoiding spinal cord ischemia; preload control, helpful in managing proximal aortic hypertension; avoidance of heparinization; an operative field free of bypass circuitry; and the operation can be performed in an unhurried fashion. |
Authors:
|
J N Young; L I Iverson; R R Ecker; I A May |
Related Documents
:
|
17055689 - Duplex-guided endovascular treatment for occlusive and stenotic lesions of the femoral-... 21631219 - Decompressive hemicraniectomy after malignant middle cerebral artery infarction: ration... 6451879 - The contribution of the left and right sympathetic trunk to control of the diameter of ... 10878639 - A novel technique using the percutaneous vascular surgery device to close the 22 french... 7226909 - The management of descending thoracic aortic aneurysms using heparinless femoral venoar... 20422829 - Treatment of rare posttraumatic false aneurism and a-v fistula of the deep femoral arte... 9701119 - Do cerebral aneurysms originate at the site of medial defects? microscopic examinations... 8571769 - Persistent median artery in carpal tunnel syndrome. 10564099 - Endothelin-1 stimulation of endothelial nitric oxide synthase in the pathogenesis of he... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Chest Volume: 79 ISSN: 0012-3692 ISO Abbreviation: Chest Publication Date: 1981 Apr |
Date Detail:
|
Created Date: 1981-07-09 Completed Date: 1981-07-09 Revised Date: 2004-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 0231335 Medline TA: Chest Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 438-41 Citation Subset: AIM; IM |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
MeSH Terms | |
Descriptor/Qualifier:
|
Aorta, Thoracic
/
surgery Aortic Aneurysm / surgery* Cardiopulmonary Bypass* Femoral Artery / surgery Femoral Vein / surgery Heparin / therapeutic use Humans Models, Biological |
Chemical | |
Reg. No./Substance:
|
9005-49-6/Heparin |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Bacteriology and treatment of gram-negative pneumonia in long-term hospitalized children.
Next Document: Dyphylline aerosol attenuates antigen-induced bronchoconstriction in experimental canine asthma.