Elective transfer from cardiopulmonary bypass to centrifugal blood pump support in very high-risk cardiac surgery Stephen Westaby, BSc, FRCS, MS, PhD,

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Presentation transcript:

Elective transfer from cardiopulmonary bypass to centrifugal blood pump support in very high-risk cardiac surgery Stephen Westaby, BSc, FRCS, MS, PhD, FETCS, FESC, FACC, FICA, Lognathen Balacumaraswami, MBBS, FRCS, FRCS (CTh), Betsy J. Evans, MRCS, Gabriele B. Bertoni, MD, Xu Y. Jin, MD, PhD, Desiree Robson, RN, Catherine R. Grebenik, MD The Journal of Thoracic and Cardiovascular Surgery Volume 133, Issue 2, Pages 577-578 (February 2007) DOI: 10.1016/j.jtcvs.2006.09.035 Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Tube of descending aortic homograft (8 cm length × 10 mm diameter) is sewn to incision at junction of superior pulmonary vein with left atrium. Through this conduit is introduced 32F right-angled, wire-reinforced venous cannula into center of left atrium. Ligatures are placed around homograft to retain inflow cannula in position. Distal end of venous cannula is brought through skin below sternotomy wound and then filled by raising left atrial pressure. Dacron polyester fabric graft (8 mm) is then sewn to ascending aorta with side clamp. Straight arterial inflow cannula (22F) is inserted through this graft, secured in place by ligatures, and brought out through skin adjacent to venous cannula. The Journal of Thoracic and Cardiovascular Surgery 2007 133, 577-578DOI: (10.1016/j.jtcvs.2006.09.035) Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions