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The Annals of Thoracic Surgery, Vol 23, 507-513, Copyright © 1977 by The Society of Thoracic Surgeons
JS Donahoo, RK Brawley and VL Gott
From 1966 to 1976 a flexible, heparin-coated shunt was used for operative
procedures on the thoracic aorta and great vessels in 25 patients aged 15
to 78 years. Twenty patients had resection of aneurysms of the descending
thoracic aorta. There was 1 death in 15 patients undergoing elective
resection and 2 deaths (both from rupturing aneurysms) in 5 patients having
emergency resection. The shunt was used in 5 patients who had procedures
involving involving the great vessels. There have been no complications
attributable to the shunt in either group. The advantages of this shunt
include elimination of the need for systemic heparin, avoidance of
hypertension during cross-clamping, and adequate perfusion of the distal
cirulation without an interposed pump. Because of the ease of handling, low
risk, and versatility, we consider the use of this shunt the preferred
method for support in elective procedures of the thoracic aorta and great
vessels.
ARTICLES
The heparin-coated vascular shunt for thoracic aortic and great vessel procedures: a ten-year experience
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