Partial cardio-pulmonary bypass in peripheral vascular surgery: case reports

Area of Science:

• Neurosurgery
• Vascular Surgery
• Cardiopulmonary Bypass

Background:

• Aneurysmal vascular lesions, such as cranio-encephalic angiodysplasia and vertebral artery aneurysms, present significant surgical challenges.
• Difficult surgical approaches necessitate innovative techniques to ensure patient safety and successful outcomes.

Purpose of the Study:

• To report two challenging cases of aneurysmal vascular lesions successfully treated with extra-corporeal circulation.
• To highlight the benefits of partial cardiopulmonary bypass in managing complex vascular surgeries.

Main Methods:

• Extra-corporeal circulation utilizing femoro-femoral cannulation was employed.
• Controlled hypotension and mild hypothermia were implemented during the procedures.

Main Results:

• Complete recovery of lost blood was achieved through the use of cardiopulmonary bypass.
• Both complex vascular lesions were successfully treated, leading to good patient outcomes.
• The employed techniques, including controlled hypotension and hypothermia, were decisive for surgical success.

Conclusions:

• Extra-corporeal circulation is a valuable technique for managing difficult-to-approach aneurysmal vascular lesions.
• Partial cardiopulmonary bypass offers critical advantages, including blood management and physiological control, in complex neurovascular and vascular surgeries.