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Ann Thorac Surg 1991;51:842-843
© 1991 The Society of Thoracic Surgeons

Articles

Dissectors for pulmonary thromboendarterectomy

Pat O. Daily, MD*, Walter P. Dembitsky, MD, Raymond P. Daily*

Sharp Memorial Hospital, San Diego, California USA

Accepted for publication January 23, 1991.

* Address reprint requests to Dr Daily, 8010 Frost St, Suite 501, San Diego, CA 92123.
* Address reprint requests to Dr Daily, 8010 Frost St, Suite 501, San Diego, CA 92123.

Even with circulatory arrest during pulmonary thromboendarterectomy, continued back-bleeding obscures the operative field. This necessitates frequent interruptions of dissection to allow aspiration with a second instrument. Therefore, pulmonary thromboendarterectomy dissectors are described that allow simultaneous suction of blood from the operative field. Before the use of these dissectors, circulatory arrest time was 59 ± 23 minutes in 124 consecutive patients. In the last 10 consecutive patients using these dissectors, the mean circulatory arrest time has been 52 ± 22 minutes (p = not significant). It is anticipated that with a larger database, the ability to aspirate blood simultaneously during the dissecting process will result in a significant shortening of circulatory arrest time.




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