Cook Victoria, Wang Andy, Llewellyn Stephen, Adendorff Bruce, Yan Tristan
Department of Cardiothoracic Surgery, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.
Department of Anaesthetics, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.
Ann Thorac Surg Short Rep. 2023 Sep 13;2(1):21-24. doi: 10.1016/j.atssr.2023.09.003. eCollection 2024 Mar.
Left-sided heart bypass may be run with a complete cardiopulmonary bypass circuit or a venoarterial extracorporeal membrane oxygenation circuit in thoracoabdominal surgery. Both configurations have specific disadvantages. We describe a modified circuit for left-sided heart bypass that can be run as an extracorporeal membrane oxygenation-like circuit, allowing lower activated clotting time targets and simplified perfusion while improving blood conservation and facilitating visceral perfusion.
在胸腹手术中，左侧心脏旁路可以通过完整的心肺旁路回路或静脉-动脉体外膜肺氧合回路来运行。这两种配置都有特定的缺点。我们描述了一种用于左侧心脏旁路的改良回路，它可以作为类似体外膜肺氧合的回路运行，允许更低的活化凝血时间目标并简化灌注，同时改善血液保护并促进内脏灌注。
