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Dual Inflow Perfusion for Cardiopulmonary Bypass

Dual Inflow Perfusion for Cardiopulmonary Bypass Abstract The technique of cardiopulmonary bypass must frequently be altered to adjust to the specific needs of the patient. Several interesting conditions have recently been encountered in which it seemed desirable to maintain dual inflow perfusion utilizing 2 separate arterial cannulae, 1 supplying the upper and another the lower portions of the body. This technique is especially useful in those cases having an impedance to blood flow through the thoracic aorta. Although somewhat unusual, such problems are occasionally encountered as characterized by the patient with a Hufnagel valve in the descending aorta. In this instance the femoral artery alone would not be a suitable inflow site, inasmuch as blood could not pass through the valve in a reverse direction. Although the bypass could be accomplished through the left subclavian artery, this vessel may be too small to accommodate high flows. The problem may be easily resolved by using 2 inflow catheters, References 1. Kirklin, J. W., and De Vloo, R. A.: Hypothermic Perfusion and Circulatory Arrest for Surgical Correction of Tetralogy of Fallot with Previously Constructed Potts' Anastomosis , Dis. Chest. 39:87, 1961.Crossref 2. Neville, W. E.; Kameya, S.; Oz, M.; Bloor, B., and Clowes, G. H. A., Jr.: Profound Hypothermia and Complete Circulation Interruption , Arch Surg. 82:108, 1961.Crossref 3. Stephen, C. R.; Dent, S. J.; Sealy, W. C., and Hall, K. D.: Anesthetic and Metabolic Factors Associated with Combined Extracorporeal Circulation and Hypothermia , Amer J. Cardiol. 6:737, 1960.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Dual Inflow Perfusion for Cardiopulmonary Bypass

Archives of Surgery , Volume 86 (2) – Feb 1, 1963

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References (4)

Publisher
American Medical Association
Copyright
Copyright © 1963 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1963.01310080042010
Publisher site
See Article on Publisher Site

Abstract

Abstract The technique of cardiopulmonary bypass must frequently be altered to adjust to the specific needs of the patient. Several interesting conditions have recently been encountered in which it seemed desirable to maintain dual inflow perfusion utilizing 2 separate arterial cannulae, 1 supplying the upper and another the lower portions of the body. This technique is especially useful in those cases having an impedance to blood flow through the thoracic aorta. Although somewhat unusual, such problems are occasionally encountered as characterized by the patient with a Hufnagel valve in the descending aorta. In this instance the femoral artery alone would not be a suitable inflow site, inasmuch as blood could not pass through the valve in a reverse direction. Although the bypass could be accomplished through the left subclavian artery, this vessel may be too small to accommodate high flows. The problem may be easily resolved by using 2 inflow catheters, References 1. Kirklin, J. W., and De Vloo, R. A.: Hypothermic Perfusion and Circulatory Arrest for Surgical Correction of Tetralogy of Fallot with Previously Constructed Potts' Anastomosis , Dis. Chest. 39:87, 1961.Crossref 2. Neville, W. E.; Kameya, S.; Oz, M.; Bloor, B., and Clowes, G. H. A., Jr.: Profound Hypothermia and Complete Circulation Interruption , Arch Surg. 82:108, 1961.Crossref 3. Stephen, C. R.; Dent, S. J.; Sealy, W. C., and Hall, K. D.: Anesthetic and Metabolic Factors Associated with Combined Extracorporeal Circulation and Hypothermia , Amer J. Cardiol. 6:737, 1960.Crossref

Journal

Archives of SurgeryAmerican Medical Association

Published: Feb 1, 1963

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