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Related Experiment Video

Updated: Jul 3, 2026

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement
08:50

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement

Published on: March 26, 2018

Aortic surgery using total miniaturized cardiopulmonary bypass.

Richard W Issitt1, John W Mulholland, Martin D Oliver

  • 1Department of Clinical Perfusion Science, Hammersmith Hospital, London, United Kingdom.

The Annals of Thoracic Surgery
|July 22, 2008
PubMed
Summary

The ECCO total miniaturized cardiopulmonary bypass (MCPB) system is safe for aortic surgery. This technique effectively manages air and reduces blood transfusions, demonstrating its suitability for complex cardiac procedures.

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Area of Science:

  • Cardiac Surgery
  • Cardiopulmonary Bypass Technology

Background:

  • Miniaturized cardiopulmonary bypass (MCPB) systems are underutilized in aortic surgery due to air handling concerns.
  • The ECCO total MCPB system integrates a venous air removal device and a soft-shell reservoir for heart venting.
  • Our institution routinely uses total MCPB for coronary artery bypass graft procedures.

Purpose of the Study:

  • To evaluate the safety and efficacy of the ECCO total MCPB system in aortic surgery.
  • To assess the system's air handling capabilities and impact on blood transfusion rates.
  • To determine the overall suitability of this advanced bypass technology for aortic procedures.

Main Methods:

  • A prospective audit of 50 consecutive, unselected aortic procedures utilizing the ECCO total MCPB system.

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Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots
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Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots

Published on: May 21, 2017

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Last Updated: Jul 3, 2026

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement
08:50

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement

Published on: March 26, 2018

Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots
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Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots

Published on: May 21, 2017

  • Evaluation of surgical feasibility, effectiveness of air removal, and blood transfusion requirements.
  • Data collection on bypass and ischemic times, vented blood volume, and device activations.

    • Main Results:

    • The ECCO system successfully managed 1,910 mL of vented blood with 96 air removal activations.
    • Blood product transfusion rate was 12%, lower than the unit's standard surgical rate.
    • No complications were reported during the study period, indicating high safety.

    Conclusions:

    • The ECCO total MCPB system is a safe and effective option for performing aortic surgery.
    • The system's design facilitates efficient air handling and reduces the need for blood transfusions.
    • This technology represents a viable advancement for complex cardiac surgical interventions.