Hostname: page-component-586b7cd67f-t7czq Total loading time: 0 Render date: 2024-11-28T00:09:37.642Z Has data issue: false hasContentIssue false
  • English
  • Français

European approach to cardiopulmonary bypass in neonates

Published online by Cambridge University Press:  19 August 2008

Magdi H. El Habbal  and
Martin J. Elliott
Magdi H. El Habbal
Affiliation:
From the Institute of Child Health and The Hospital For Sick Children, London
Martin J. Elliott*
Affiliation:
From the Institute of Child Health and The Hospital For Sick Children, London
*
Mr. Martin J. Elliott, Cardiothoracic Unit, The Hospital For Sick Children, Great Ormond Street, London WCIN 3JH, United Kingdom.
Get access Rights & Permissions [Opens in a new window]

Extract

The advent of cardiopulmonary bypass in 1953, and its subsequent continuous refinements, have securely established the specialty of cardiovascular surgery. In conjunction with the improved methods of myocardial preservation, this has allowed the safe repair of acquired and complex congenital cardiac defects. During the years, the many variables of the systems used for cardiopulmonary bypass have been altered to the point that most operations are now reproducible with, relatively, low morbidity and mortality. Although in its present form the system is quite reasonable for most routine surgery, it is far from perfect. There remains, therefore, a quest for alterations to improve the system as an ongoing process. Certain complications of open-heart surgery persist and many new and unique approaches to the concept of organ protection and the treatment of these complications must be developed and refined.

Keywords

Perfusionprimecardioplegiaarterial switch procedureultrafiltration
Type
World Forum for Pediatric Cardiology Symposium on Cardiopulmonary Bypass (Part 2)
Information
Cardiology in the Young , Volume 3 , Issue 4 , October 1993 , pp. 347 - 352
Copyright
Copyright © Cambridge University Press 1993

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Cooley, D. Recollections of early development and later trends in cardiacsurgeiy. J Thorac Cardiovasc Surg 1989; 98:817–822.CrossRefGoogle Scholar
2.Elliott, MJ, Rao, PV, Hampton, M. Current paediatric perfusion practice in the United Kingdom. Perfusion 1993. [in press]Google Scholar
3.Haneda, K, Sato, S, Ischizawa, E. The importance of colloid osmotic pressure during open heart surgery in infants. Tohuku J Exp Med 1985; 147: 65–71.CrossRefGoogle ScholarPubMed
4.Elliott, MJ. Perfusion for paediatric open heart surgery. Seminars in Thorac Cardiovascular Surgery 1990; 2: 332–340.Google Scholar
5.Honek, T, Horvath, P, Kucera, V, Kostelka, M, Hucin, B, Stark, J. Minimisation ofpriming volume and blood saving in paediatric cardiac surgery. Eur J Cardiothorac Surg 1990; 6: 308–310.CrossRefGoogle Scholar
6.Taylor, KM. Cardiopulmonary Bypass Principles and Management. Chapman & Hall, London, 1986.Google Scholar
7.Naik, S, Knight, A, Elliott, MJ. A prospective randomised study of a modified technique of ultrafiltration during paediatric open-heart surgery. Circulation 1991; 84: 422–431.Google Scholar