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Ann Thorac Surg 1993;56:1176-1177
© 1993 The Society of Thoracic Surgeons

Articles

Clinical cardiopulmonary bypass without systemic anticoagulation

Robert D. Dowling, MD, Michael E. Brown, CCP, Robert O. Whittington, Jr, CCP, Joseph J. Quinlan, MD, John M. Armitage, MD*

Department of Cardiothoracic Surgery and Anesthesiology, University of Pittsburgh Pittsburgh, Pennsylvania USA

Accepted for publication February 9, 1993.

* Address reprint requests to Dr Armitage, Division of Cardiothoracic Surgery, University of Pittsburgh, 1084 Scaife Hall, Pittsburgh, PA 15216.

Heparin-coated perfusion systems have been used to perform cardiopulmonary bypass with decreased systemic heparin dosages. We report the case of a 60-year-old man with end-stage liver disease and severe aortic stenosis who underwent an aortic valve replacement without systemic anticoagulation, employing a heparin-coated perfusion system. In patients with a contraindication to systemic anticoagulation, cardiopulmonary bypass with a heparin-coated system without systemic anticoagulation may be a viable alternative.




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