Heparinless, oxygenatorless perfusion rewarming following surface-induced deep hypothermia for open-heart surgery.
J Thorac Cardiovasc Surg
; 71(5): 792-9, 1976 May.
Article
en En
| MEDLINE
| ID: mdl-1263565
To facilitate perfusion rewarming without the use of total body heparinization or an oxygenator following open-heart correction with surface hypothermia, we divised a pump circuit. The circuit, totally primed with 100 c.c. of saline, consists of polyurethane-polyvinyl-graphite (PPG) coated Tygon tubes (with one end tapered by heat treatment) and a copper-coil heat exchanger. A roller pump was used to achieve partial bypass from the left atrium to the ascending aorta with flow rates up to 70 c.c. per kilogram per minute. Experiments in dogs resulted in rapid rewarming, immediate return of cardiac function, and hematologic alterations similar to those noted during surface rewarming. The safety of the method was also demonstrated. Prothrombin time, partial thromboplastin time, and platelet values returned to control levels upon rewarming, and no thromboemboli or bleeding problems were noted. Six clinical experiences were accumulated. Details of the method, hematologic and blood chemical analyses in dogs, and the first clinical trial in a 3-month-old infant with transposition of the great vessels are reported.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Circulación Extracorporea
/
Procedimientos Quirúrgicos Cardíacos
/
Calor
/
Hipotermia Inducida
Tipo de estudio:
Clinical_trials
Límite:
Animals
/
Humans
/
Infant
/
Male
Idioma:
En
Revista:
J Thorac Cardiovasc Surg
Año:
1976
Tipo del documento:
Article
Pais de publicación:
Estados Unidos