Document Detail


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
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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    
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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


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