| The management of descending thoracic aortic aneurysms using heparinless femoral venoarterial bypass. | |
MedLine Citation:
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PMID: 7226909 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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:
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J N Young; L I Iverson; R R Ecker; I A May |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Chest Volume: 79 ISSN: 0012-3692 ISO Abbreviation: Chest Publication Date: 1981 Apr |
Date Detail:
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Created Date: 1981-07-09 Completed Date: 1981-07-09 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0231335 Medline TA: Chest Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 438-41 Citation Subset: AIM; IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aorta, Thoracic
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surgery Aortic Aneurysm / surgery* Cardiopulmonary Bypass* Femoral Artery / surgery Femoral Vein / surgery Heparin / therapeutic use Humans Models, Biological |
| Chemical | |
Reg. No./Substance:
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9005-49-6/Heparin |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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