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Virender K. Saini
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Ann Thorac Surg 1973;15:163-169
© 1973 The Society of Thoracic Surgeons

Articles

Clinical Applications of Femoral Vein-to-Artery Cannulation for Mechanical Cardiopulmonary Support and Bypass

Robert L. Berger, M.D.*, Virender K. Saini, M.D., Everett L. Dargan, M.D.

Departments of Cardiothoracic Surgery, University Hospital, Boston City Hospital, and Boston University School of Medicine, Boston, Mass

Accepted for publication June 15, 1972.

* Address reprint requests to Dr. Berger, 750 Harrison Ave., Boston, Mass. 02118

Femoral vein-to-artery partial and total cardiopulmonary bypass was employed in 117 patients. The technique was utilized for (1) preoperative circulatory support in the presence of florid heart failure or shock; (2) circulatory support, cooling, and reinfusion of excessive blood losses from inadvertent but anticipated injury of a cardiac chamber or of great vessels during exposure of the heart; (3) elective intracardiac procedures through a left thoracotomy; and (4) partial cardiopulmonary bypass for operations on the descending thoracic aorta. The femoral vein-to-artery peripheral cannulation provided satisfactory flows in most of these patients. Details of technique and indications in a wide variety of clinical situations are presented.




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