Ann Thorac Surg 1995;60:985
© 1995 The Society of Thoracic Surgeons
Discussion
Discussion
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See also page 978.
DR JOHN E. CONNOLLY (Newport Beach, CA): I congratulate Dr Slater on his presentation. I think this will be a real advanced modality for transplantation. He was kind enough to send me his manuscript, and I thought you might be interested in some of our experiences with veno-arterial shunting.
I gave a paper before the Society of University Surgeons 37 years ago. At that time the problem that we found was with prolonged administration of heparin, causing adverse hematologic effects. It was about 10 years after that, that Dr Wakabayashi in our department devised a nonthrombogenic coating for tubing, which we then applied for left heart bypass very successfully, and found that this eliminated the problems with bleeding. Using this tubing, we resurrected veno-arterial bypass, and applied it clinically in 6 patients. At that time we carried a roller pump and coated veno-arterial tubing in our automobile trunk and told our cardiology friends if they needed acute circulatory support, we were available. At a community hospital that did not have any facilities for heart catheterization, we were asked to assist one particular patient, who was stabilized by veno-arterial bypass successfully for 31 hours, at which time we transported the patient in a van with veno-arterial assist . . . [Full Text of this Article]
Related Article
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Right-to-Left Veno-Arterial Shunting for Right-Sided Circulatory Failure
- James P. Slater, Daniel J. Goldstein, Robert C. Ashton, Jr, Howard R. Levin, Henry M. Spotnitz, and Mehmet C. Oz
Ann. Thorac. Surg. 1995 60: 978-984.
[Abstract]
[Full Text]
Copyright © 1995 by The Society of Thoracic Surgeons.
