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Ann Thorac Surg 1976;21:26-29
© 1976 The Society of Thoracic Surgeons

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Articles

Thoracic Aneurysmectomy Utilizing Direct Left Ventriculofemoral Shunt (TDMAC-Heparin) Bypass

Division of Cardiothoracic Surgery, University of North Carolina School of Medicine, Chapel Hill, and the Division of Thoracic Surgery, Duke University Medical Center, Durham, NC

Accepted for publication September 3, 1975.

^* Address reprint requests to Dr. Murray, Division of Cardiothoracic Surgery, University of North Carolina School of Medicine, Box 7, Division of Health Affairs, Chapel Hill, NC 27514

Use of a temporary heparin-coated ventriculofemoral shunt in 2 patients in the successful management of traumatic aneurysms of the descending thoracic aorta is described. Safe and effective bypass protection can be achieved by direct ventriculofemoral diversion when cannulation of the left subclavian artery or ascending aorta is hazardous. The use of a heparinized shunt bypass without systemic anticoagulation considerably simplifies the operation.

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