HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Richard D. Weisel Bernard S. Goldman Hugh E. Scully Ronald J. Baird Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Zapolanski, A. Articles by Baird, R. J. Search for Related Content PubMed PubMed Citation Articles by Zapolanski, A. Articles by Baird, R. J.

Ann Thorac Surg 1982;33:516-517
© 1982 The Society of Thoracic Surgeons

---

Articles

Pericardial Graft for Intraoperative Balloon Pump Insertion

From the Division of Cardiovascular Surgery, Toronto General Hospital, Toronto, Ont, Canada

Accepted for publication July 1, 1981.

^* Address reprint requests to Dr. Weisel, Toronto General Hospital, 200 Elizabeth St, Eaton North, Room 13-224, Toronto, Ont, Canada M5G 1L7

A technique that permits rapid insertion of an intraaortic balloon pump to support patients who cannot be successfully weaned from cardiopulmonary bypass is described. A pericardial patch is obtained while the sternum is still open, and is sutured to a common femoral arteriotomy. A 6-0 Prolene mattress stitch is inserted at the heel and continued along the sides. The ends are tied at the toe, and the same suture is used to construct a tube of pericardium over the balloon catheter. A single heavy silk suture is placed around the pericardial graft to prevent bleeding.

The technique helps prevent thrombus and avoids infectious complications. It reduces the incidence of vascular complications and makes use of the Fogarty catheter after balloon removal unnecessary. We have used the method in 9 patients since November, 1979, without problems.

This article has been cited by other articles:

				D. M. Shahian, W. B. Neptune, F. H. Ellis Jr., and P. R. Maggs Intraaortic Balloon Pump Morbidity: A Comparative Analysis of Risk Factors Between Percutaneous and Surgical Techniques Ann. Thorac. Surg., December 1, 1983; 36(6): 644 - 653. [Abstract] [PDF]