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Modified Circuit for Left-Sided Heart Bypass in Thoracoabdominal Surgery
Victoria Cook1, Andy Wang2,3, Stephen Llewellyn2
1Department of Cardiothoracic Surgery, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.
Abstract:
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.
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