ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Gordon N. Olinger
Lawrence I. Bonchek
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Olinger, G. N.
Right arrow Articles by Bonchek, L. I.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Olinger, G. N.
Right arrow Articles by Bonchek, L. I.

Ann Thorac Surg 1978;26:525-534
© 1978 The Society of Thoracic Surgeons

Articles

Ventricular Venting during Coronary Revascularization: Assessment of Benefit by Intraoperative Ventricular Function Curves

Gordon N. Olinger, M.D.*, Lawrence I. Bonchek, M.D.

Department of Thoracic and Cardiovascular Surgery, The Medical College of Wisconsin, the Milwaukee County Medical Complex, and the Wood (Milwaukee) Veterans Administration Center, Milwaukee, WI.

* Address reprint requests to Dr. Olinger, Department of Thoracic and Cardiovascular Surgery, The Medical College of Wisconsin, 8700 W Wisconsin Ave, Milwaukee, WI 53226.

Although the physiological benefits of left ventricular venting during cardiopulmonary bypass have been documented experimentally, air embolus is still a concern clinically, and surgeons, therefore, continue to debate whether or not to vent routinely during coronary revascularization. In this study, 10 patients vented during revascularization and 10 not vented were studied immediately before and after cardiopulmonary bypass using Sarnoff ventricular function curves to assess changes in ventricular performance. Stroke work index by each patient before and after bypass was compared at common left atrial pressures and concomitant similar systemic resistances. In patients who were vented, there was overall no change in function (98 ± 7% of control; range, 146–73%). In patients who were not vented, there was overall significant depression of function (67 ± 5% of control; range, 91–45%, p < 0.01). The overall absence of depression in patients who were vented, several of whom had very poor ventricles before bypass, strongly supports venting for coronary revascularization.




This article has been cited by other articles:


Home page
 Card Surg AdultHome page
J. W. Hammon
Extracorporeal Circulation: Perfusion System
Card. Surg. Adult, January 1, 2008; 3(2008): 350 - 370.
[Full Text]

Home page
 Card Surg AdultHome page
E. A. Hessel II and L. H. Edmunds Jr.
Extracorporeal Circulation: Perfusion Systems
Card. Surg. Adult, January 1, 2003; 2(2003): 317 - 338.
[Full Text]

Home page
 Ann. Thorac. Surg.Home page
E. F. Lundy, C. J. Gassmann, L. I. Bonchek, R. G. Smith, M. W. Burlingame, and B. E. Vazales
A simple and safe technique of left ventricular venting
Ann. Thorac. Surg., June 1, 1992; 53(6): 1127 - 1129.
[Abstract] [PDF]

Home page
 Ann. Thorac. Surg.Home page
J. T. Diehl, E. J. Eichhorn, M. A. Konstam, D. D. Payne, A. R. Dresdale, R. M. Bojar, H. Rastegar, J. J. Stetz, D. N. Salem, R. J. Connolly, et al.
Efficacy of Retrograde Coronary Sinus Cardioplegia in Patients Undergoing Myocardial Revascularization: A Prospective Randomized Trial
Ann. Thorac. Surg., June 1, 1988; 45(6): 595 - 602.
[Abstract] [PDF]

Home page
 Ann. Thorac. Surg.Home page
L. I. Bonchek, M. W. Burlingame, and B. E. Vazales
Postoperative Fibrous Cardiac Constriction
Ann. Thorac. Surg., March 1, 1988; 45(3): 311 - 314.
[Abstract] [PDF]

Home page
 Ann. Thorac. Surg.Home page
S. A. Mills, K. Hansen, J. Vinten-Johansen, H. R. Howe, K. R. Geisinger, and A. R. Cordell
Enhanced Functional Recovery with Venting during Cardioplegic Arrest in Chronically Damaged Hearts
Ann. Thorac. Surg., December 1, 1985; 40(6): 566 - 573.
[Abstract] [PDF]

Home page
 Ann. Thorac. Surg.Home page
A. J. Roberts, R. S. Faro, L. A. Williams, J. A. Cohen, D. K. Knauf, and J. A. Alexander
Relative Efficacy of Left Ventricular Venting and Venous Drainage Techniques Commonly Used during Coronary Artery Bypass Graft Surgery
Ann. Thorac. Surg., October 1, 1983; 36(4): 444 - 452.
[Abstract] [PDF]

Home page
 Ann. Thorac. Surg.Home page
J. D. Sink, R. C. Hill, D. E. Attarian, and A. S. Wechsler
Myocardial Blood Flow and Oxygen Consumption in the Empty-Beating, Fibrillating, and Potassium-Arrested Hypertrophied Canine Heart
Ann. Thorac. Surg., April 1, 1983; 35(4): 372 - 379.
[Abstract] [PDF]

Home page
 Ann. Thorac. Surg.Home page
R. H. Breyer, S. Lavender, and A. R. Cordell
Delayed Left Ventricular Rupture Secondary to Transatrial Left Ventricular Vent
Ann. Thorac. Surg., February 1, 1982; 33(2): 189 - 191.
[Abstract] [PDF]

Home page
 Ann. Thorac. Surg.Home page
S. K. Lucas, H. V. Schaff, J. T. Flaherty, V. L. Gott, and T. J. Gardner
The Harmful Effects of Ventricular Distention during Postischemic Reperfusion
Ann. Thorac. Surg., November 1, 1981; 32(5): 486 - 494.
[Abstract] [PDF]

Home page
 Ann. Thorac. Surg.Home page
N. W. Salomon and J. G. Copeland
Single Catheter Technique for Cardioplegia and Venting during Coronary Artery Bypass Grafting
Ann. Thorac. Surg., July 1, 1980; 30(1): 88 - 89.
[Abstract] [PDF]

Home page
 Ann. Thorac. Surg.Home page
R. M. Engelman and J. H. Rousou
Left Ventricular Venting during Cardioplegic Arrest
Ann. Thorac. Surg., December 1, 1979; 28(6): 603 - 604.
[Abstract] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 1978 by The Society of Thoracic Surgeons.