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James T. Diehl
Douglas D. Payne
Hassan Rastegar
Richard J. Cleveland
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Ann Thorac Surg 1987;44:422-423
© 1987 The Society of Thoracic Surgeons

Articles

Arterial Bypass of the Descending Thoracic Aorta with the BioMedicus Centrifugal Pump

James T. Diehl, M.D.*, Douglas D. Payne, M.D., Hassan Rastegar, M.D., Richard J. Cleveland, M.D.

From the Department of Cardiothoracic Surgery, Tufts-New England Medical Center, Boston, MA

Accepted for publication February 6, 1987.

* Address reprint requests to Dr. Diehl, Department of Cardiothoracic Surgery, Tufts-New England Medical Center, 750 Washington St, Boston, MA 02111

Bypass of the descending thoracic aorta is frequently advocated as an adjunct for repair of traumatic tears and degenerative aneurysms. Many methods of bypass have been proposed to provide distal perfusion and reduce left ventricular afterload during cross-clamp of the thoracic aorta. We describe a simple method of direct arterial (aortoaortic or aortofemoral) bypass using the BioMedicus centrifugal pump with limited systemic heparinization.




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