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Ann Thorac Surg 2001;71:347-349
© 2001 The Society of Thoracic Surgeons

Case report

Thoracoabdominal aortic repair in a 190-kg patient: optimized perfusion with two oxygenators

Erich Gygax, EBPb, Peter Schüpbach, MDa, Thierry P. Carrel, MDa

a Clinic for Cardiovascular Surgery, University Hospital, Berne, Switzerland
b University Hospital, Berne, Switzerland

Accepted for publication March 17, 2000.

Address reprint requests to Dr Carrel, Clinic for Cardiovascular Surgery, University Hospital, CH-3010 Berne, Switzerland
e-mail: thierry.carrel{at}insel.ch

A 190-kg patient was referred because of an acute type B aortic dissection. Conservative management was initially performed but the 34-year-old patient was shown to have an increasing aortic diameter 2 months later and was scheduled for elective repair of the thoracoabdominal aorta. To anticipate potential difficulties with perfusion and oxygenation the cardiopulmonary bypass circuit was constructed with two parallel oxygenators, which allowed an adequate oxygen supply through all phases of the intervention and accelerated the estimated rewarming time.






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Copyright © 2001 by The Society of Thoracic Surgeons.