Abstract
In the more than 300,000 operations requiring cardiopulmonary bypass (CPB) performed yearly in the United States, aortoatriocaval cannulation is the most frequently used standard method for venous drainage and arterial perfusion. Following the landmark contributions to extracorporeal circulation and oxygenators by Gibbon,1 Dennis,2 Lillehei,3 and Kirklin4 in the 1940s and 1950s, arteriovenous cannulation progressed from femorovenous to aortoatriocaval cannulation in the mid-1960s. In 1968, Gerbode5 reported on a new technique of arterial perfusion that involved cannulating the ascending aorta, and in 1970, Taylor and Effler6 reported their experience with this technique in 9000 cases with only one lethal complication.
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References
Gibbon JH Jr. Application of a mechanical heart and lung apparatus to cardiac surgery. In: Recent Advances in Cardiovascular Physiology and Surgery. Minneapolis: University of Minnesota; 1953: 47–62.
Dennis C, Spreng DS Jr, Nelson GE, et al. Development of a pump oxygenator to replace the heart and lungs: an apparatus applicable to human patients and application to one case. Ann Surg1951; 134: 709–713.
Worden HE, Cohen M, Read RC, et al. Controlled cross circulation for open intracardiac surgery. J Thorac Surg1955; 28: 331–339.
Kirklin JW, Dushane JW, Patrick RT, et al. Intracardiac surgery with the aid of a mechanical pump oxygenator system (Gibbon type): report of eight cases. Proc Staff Meet Mayo Clin1955; 30: 201–211.
Gerbode F, Kerth WJ, Kovacs G, et al Cannulation of the ascending aorta for perfusion during cardiopulmonary bypass. A new technique and analysis of results. J Cardiovasc Surg1968; 9: 293–296.
Taylor PC, Effler DB. Management of cannulation for cardiopulmonary bypass in patients with adult-acquired heart disease. Surg Clin North Am1975; 55: 1205–1215.
Beckman CB, Hurley F, Mammana R, et al. Risk factors for air embolization during cannulation of the ascending aorta. J Thorac Cardiovasc Surg1980; 80: 302–307.
Louagie Y, Gonzales M, Collard E, et al. Assessment of two venous drainage techniques in coronary artery bypass graft surgery. J Thorac Cardiovasc Surg1989; 37: 169–173.
Bennett EV Jr, Fewel JH, Ybarra J, et al. Comparison of flow differences among venous cannulas. Ann Thorac Surg1983; 36: 59–65.
Wareing TN, Davila-Roman VG, Barzilai B, et al. Management of the severely atherosclerotic ascending aorta during cardiac operations: a strategy for detection and treatment. J Thorac Cardiovasc Surg1992; 103: 453–462.
Gott JP, Cohen CL, Jones EL. Management of ascending aortic dissections and aneurysms early and late following cardiac operations. J Cardiac Surg1990; 5: 2–13.
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© 1995 Springer-Verlag New York Inc.
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Connolly, M.W. (1995). Aortoatriocaval Cannulation for Cardiopulmonary Bypass. In: Mora, C.T., Guyton, R.A., Finlayson, D.C., Rigatti, R.L. (eds) Cardiopulmonary Bypass. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-2484-6_15
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DOI: https://doi.org/10.1007/978-1-4612-2484-6_15
Publisher Name: Springer, New York, NY
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