Department of Cardiothoracic Surgery, AHEPA University Hospital, Thessaloniki, Greece.
Artif Organs. 2011 Oct;35(10):960-3. doi: 10.1111/j.1525-1594.2010.01183.x. Epub 2011 Apr 19.
The aim of this report is to explore application of minimized cardiopulmonary bypass (CPB) circuits in areas of cardiac surgery other than coronary bypass grafting and aortic valve surgery. We report three cases operated under minimal extracorporeal circulation support. Replacement of the descending thoracic aorta was performed in two patients; one with a descending aortic aneurysm and one with pseudoaneurysm formation after previous coarctation repair. We have also implanted a left ventricular assist device for destination therapy. The minimized extracorporeal circulation system provides optimal circulatory support, while it is associated with reduced postoperative morbidity, minimizing the side effects from the use of CPB. Moreover, when off-pump technique is attempted, it can be used as a standby circuit connected to the patient so as to enhance safety of the procedure. Minimized extracorporeal circulation systems can be used with safety and efficacy in a wide range of cardiac surgeries including descending aorta pathology and assist device implantation.
本报告旨在探讨微创体外循环（CPB）回路在冠状动脉旁路移植术和主动脉瓣手术以外的心脏外科领域的应用。我们报告了在最小体外循环支持下进行的三例手术。两名患者接受了降主动脉置换术，一名患者患有降主动脉瘤，另一名患者曾行缩窄修复术后假性动脉瘤形成。我们还植入了左心室辅助装置作为终末期治疗。微创体外循环系统提供了最佳的循环支持，同时降低了术后发病率，最大限度地减少了 CPB 使用的副作用。此外，当尝试非体外循环技术时，它可以用作与患者连接的备用回路，以提高手术安全性。微创体外循环系统可安全有效地用于广泛的心脏手术，包括降主动脉病变和辅助装置植入。
