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Ann Thorac Surg 2001;72:1770-1771
© 2001 The Society of Thoracic Surgeons


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Oxygenator support for partial left-heart bypass

William R. Leach, CCPa, Thoralf M. Sundt, III, MD*b, Marc R. Moon, MDb, the Cardiopulmonary Perfusion Staff,a

a Department of Perfusion Services, Barnes-Jewish Hospital, Washington University School of Medicine, St. Louis, Missouri, USA
b Division of Cardiothoracic Surgery, Washington University School of Medicine, St. Louis, Missouri, USA

Accepted for publication June 26, 2001.

* Address reprint requests to Dr Sundt, Division of Cardiothoracic Surgery, Washington University School of Medicine, Suite 3106 Queeny Tower, One Barnes Hospital Plaza, St. Louis, MO 63110, USA
e-mail: sundtt{at}msnotes.wustl.edu

Partial left-heart bypass provides circulatory support and distal perfusion for repair of thoracic and thoracoabdominal aortic disease without requiring full anticoagulation. Unfortunately some patients, such as those with significant lung contusion in the setting of trauma or those with severe chronic obstructive pulmonary disease and degenerative aneurysms, do not tolerate single-lung ventilation. We have recently modified our left-heart bypass circuit in selected cases to provide supplementary oxygenation, making this technique more broadly applicable.







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Copyright © 2001 by The Society of Thoracic Surgeons.