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Christine L. Lau
Bryan F. Meyers
Ralph J. Damiano, Jr
G. Alexander Patterson
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Right arrow Lung - transplantation

Ann Thorac Surg 2006;81:1524-1525
© 2006 The Society of Thoracic Surgeons

How to do it

Use of an Apical Heart Suction Device for Exposure in Lung Transplantation

Christine L. Lau, MD * , David M. Hoganson, MD, Bryan F. Meyers, MD, Ralph J. Damiano, Jr, MD, G. Alexander Patterson, MD

Department of Surgery, Washington University School of Medicine, St. Louis, Missouri

Accepted for publication February 17, 2005.

* Address correspondence to Dr Lau, 1 Barnes-Jewish Hospital, Department of Surgery, Division of Cardiothoracic Surgery, Suite 3108 Queeny Tower, St. Louis, MO 63110 (Email: lauch{at}msnotes.wustl.edu).

Cardiopulmonary bypass is not necessary for the performance of bilateral sequential lung transplantation in most circumstances. Inadequate exposure to the left hilum is occasionally the sole indication for institution of cardiopulmonary bypass. We report the use of a suction heart positioning device to allow lifting of the heart for improvement of left hilar exposure. This technique has decreased the need for cardiopulmonary bypass when bypass is indicated due to difficult operative exposure.




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