Tanaka T, Kawamura T, Ohara K, Matsumoto M, Maeda H, Hiratsuka H
Ann Thorac Surg. 1978 Mar;25(3):209-14. doi: 10.1016/s0003-4975(10)63524-2.
The transapical aortic perfusion method is a new approach to cardipulmonary bypass and is performed with an infusion cannula placed in the ascending aorta through the left ventricular apex. The technique is applicable to almost all varieties of open-heart surgery, and is the most efficient method in infants and small children. A double-barreled forked cannula performs the two functions of aortic infusion and left ventricular decompression. With a Bakelite obturator, its cannulation to the aorta is very quick and easy. The transapical aortic perfusion method with a double-barreled cannula has been utilized in 156 open-heart operations with 17 perioperative fatalities and 1 late death. The 138 surviving patients have done well for periods up to four years. The perfusion method was developed from the left heart bypass and assisted circulation technique independently invented by Chardack's group and by us in 1966 and 1969, respectively.
经心尖主动脉灌注法是一种体外循环的新方法，通过将灌注套管经左心室心尖置入升主动脉来实施。该技术适用于几乎所有类型的心脏直视手术，是婴幼儿最有效的方法。双腔叉形套管兼具主动脉灌注和左心室减压两项功能。借助酚醛树脂闭孔器，将其插入主动脉非常迅速且简便。使用双腔套管的经心尖主动脉灌注法已应用于156例心脏直视手术，围手术期有17例死亡，1例后期死亡。138例存活患者在长达四年的时间里情况良好。该灌注方法分别由查德克小组和我们于1966年和1969年独立发明的左心旁路和辅助循环技术发展而来。
