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The Annals of Thoracic Surgery, Vol 58, 516-518, Copyright © 1994 by The Society of Thoracic Surgeons
U Lonn, B Peterzen, H Granfeldt and H Casimir-Ahn
Twelve pigs undergoing coronary artery bypass grafting had the Hemopump to
decompress the heart and as circulatory support. The pigs also were given a
short-acting beta-blocker, esmolol, to make the heart flaccid.
Extracorporeal circulation was not used. During Hemopump support, a bolus
dose of 0.5 to 5 mg/kg of esmolol was given before incremental titration
steps from 100 to 600 micrograms.kg-1.min-1 over 15 to 20 minutes. The
internal thoracic artery was sutured to the distal part of the left
anterior descending artery. The Hemopump was withdrawn to the aorta after a
weaning period of 20 to 30 minutes. Seven of 12 pigs went through the whole
procedure and the Hemopump was weaned off without complications. Five
animals died due to right ventricular failure in association with esmolol
administration. There was a big interindividual difference in esmolol
dose-response curves in the surviving animals. No significant differences
in the hemodynamic variables were observed during the experiment. The
Hemopump in combination with a short-acting beta-blocker could be an
alternate way of performing coronary artery bypass grafting in selected
patients.
ARTICLES
Coronary artery operation supported by the Hemopump: an experimental study on pig
Linkoping Heart Center, University of Linkoping, Sweden.
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