TY - JOUR
T1 - Beating heart valve surgery with lung perfusion/ventilation during cardiopulmonary bypass
T2 - Do we need to break the limits?
AU - Gologorsky, Edward
AU - Macedo, Francisco I.
AU - Salerno, Tomas A.
PY - 2011/7/1
Y1 - 2011/7/1
N2 - Myocardial and pulmonary ischemia during cardiopulmonary bypass is associated with cardiac and pulmonary dysfunction that may result in poor outcomes after cardiac surgery. Beating heart valve surgery, utilizing continuous coronary perfusion with warm oxygenated blood, together with continuous pulmonary artery perfusion and alveolar ventilation during cardiopulmonary bypass, represents an emerging and exciting novel strategy for myocardial and pulmonary protection. In this article, we present preliminary clinical results, as well as basic and clinical evidence, indications, contraindications and limitations of these new evolving techniques.
AB - Myocardial and pulmonary ischemia during cardiopulmonary bypass is associated with cardiac and pulmonary dysfunction that may result in poor outcomes after cardiac surgery. Beating heart valve surgery, utilizing continuous coronary perfusion with warm oxygenated blood, together with continuous pulmonary artery perfusion and alveolar ventilation during cardiopulmonary bypass, represents an emerging and exciting novel strategy for myocardial and pulmonary protection. In this article, we present preliminary clinical results, as well as basic and clinical evidence, indications, contraindications and limitations of these new evolving techniques.
KW - beating heart technique
KW - cardiopulmonary bypass
KW - lung protection
KW - warm heart surgery
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U2 - 10.1586/erc.11.88
DO - 10.1586/erc.11.88
M3 - Review article
C2 - 21809974
AN - SCOPUS:79961202558
VL - 9
SP - 927
EP - 937
JO - Expert Review of Cardiovascular Therapy
JF - Expert Review of Cardiovascular Therapy
SN - 1477-9072
IS - 7
ER -