Abstract
During cardiac surgery and interventions on the large vessels, it is often necessary to disconnect the heart and lungs from the natural circulatory system and to stop them from working temporarily. When open heart surgery or coronary interventions are carried out, the heart and lung function is usually taken over by an external heart-lung machine (HLM). This procedure is also referred to as extracorporeal circulation (ECC) (Sect. 32.2) or cardiopulmonary bypass. The function and technical details of HLMs are decribed in this chapter.
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Further Reading
H.S. Baraka, M.A. Baroody, S.T. Haroun:Effect of α-stat versus pH-stat strategy on oxyhemoglobin dissociation and whole-body consumption during hypothermic cardiopulmonary bypass, Anaest. Analg. 74, 32 (1992)
G.D. Buckberg: Antegrade/retrograde blood cardioplegia to ensure cardioplegic distribution: operative techniques and objectives, J. Card. Surg. 4, 216 (1989)
K.G. Davidson: Cannulation for cardiopulmonary bypass, Cardiopulm. Bypass 5, 115–169 (1986)
T.G. Hattersley: Activated coagulation time of whole blood, JAMA 196, 436 (1966)
M. Kurusz, V.R. Conti, J.F. Arens, B. Brown, S.C. Faulkner, J.V. Manning: Perfusion accident survey, Proc. Am. Acad. Cardiovasc. Perfus. 7, 57–65 (1986)
J.B. Magner: Complications of aortic cannulation for open heart surgery, Thorax 26, 172–273 (1971)
W.A. McAlpine, M.W. Selman, T. Kawakami: Routine use of aortic cannulation in open heart operations, Am. J. Surg. 114, 831–834 (1967)
N.L. Mills, J.L. Ochsner: Massive air embolism during cardiopulmonary bypass, J. Thorac. Cardiovasc. Surg. 80, 798–817 (1980)
C.T. Mora: Cardiopulmonary Bypass (Springer, Berlin Heidelberg 1995)
K.M. Taylor: Cardiopulmonary Bypass (Chapman Hall, London1988)
References
J.J.C. LeGallois: Expériences sur le principe de la vie, notamment sur celui des mouvemens du coeur, et sur le siège de ce principe; suivies du rapport fait à la première classe de l’Institut sur celles relatives aux mouvemens du coeur (D’Hautel, Paris 1812)
J.P. Kay: Physiological experiments and observations on the cessation of the contractility of the heart and muscles in the asphyxia of warmblooded animals, Edinb. Med. Surg. J. 29, 37–66 (1828)
E. Brown-Séquard: Recherches expérimentales sur les propriétés physiologiques et les usages du sang rouge et du sang noir et leurs principaux éléments gazeux, l’oxygène et l’acide carbonique, J. Phys. l’Homme Anim. 1, 95–735 (1858)
C.E. Loebell: De conditionibus quibus secretiones in glandulis perficiuntur, Dissertatio Inauguralis Marburgenis, University Marburg (1849)
A. Schmidt: Die Atmung innerhalb des Blutes. Zweite Abhandlung,Ber. Verh. königl. sächs. Ges. Wiss. Leipz., Mathe.-Phys. Cl. 19, 99–130 (1867)
W. vonSchröder: Über die Bildungsstätte des Harnstoffs, Arch. Exp. Pathol. Pharmakol. 15, 364–402 (1882)
M. von Frey, M. Gruber: Untersuchung über den Stoffwechsel isolierter Organe. 1. Ein Respirationsapparat für isolierte Organe, Arch. Physiol. 6, 519–532 (1885)
P.M. Galetti, G.A. Brecher: Heart-Lung Bypass (Grune Stratton, New York 1962)
C. Jacobj: Apparat zur Durchblutung isolierter überlebender Organe, Arch. Exp. Pathol. Pharmakol. 26, 388–391 (1890)
J.H. Gibbon Jr.: Application of a mechanical heart and lung apparatus to cardiac surgery, Minn. Med. 36, 171–180 (1954)
W.G. Bigelow,.K. Lindsay,.F. Greenwood: Hypothermia — its possible role in cardiac surgery: An investigation of factors governing survival in dogs at low body temperatures, Ann. Thorac. Surg. 132, 849 (1950)
F.J. Lewis: Closure of atrial septal defects with the aid of hypothermia. Experimental accomplishments and the report of one successful case, Surgery 33, 52 (1953)
W.C. Sealy, I.W. Brown, W.G. Young: A report on the use of both extracorporal circulation and hypothermia for open heart surgery, Ann. Thorac. Surg. 147, 603 (1958)
W.C. Lillehei: Controlled cross circulation for direct vision intracardiac surgery correction of ventricular septal defects, atrio ventricularis communis, and tetralogy of Fallot, Postgrad. Med. 17, 388–396 (1955)
J.W. Kirklin, J.W. Du Shane, R.T. Patrick: Intracardiac surgery with the aid of a mechanical pump oxygenator system (Gibbon type): Report of eight cases, Proc. Staff Meet. Mayo Clinic30, 201–207 (1955)
A. Beck: Über Bluttransfusion, München Med. Wochenschau 72, 1232 (1925)
M.E. De Bakey: Simple continuous-flow blood transfusion instrument, New Orleans Med. Surg. J. 87, 386–389 (1934)
N. Zuhdi, J. Carey, J. Cutter, L. Rader, A. Greer: Intentional hemodilution, AMA Arch. Surg. 87, 554–559 (1963)
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Böckler, U., Hahn, A. (2011). Heart—Lung Machines. In: Kramme, R., Hoffmann, KP., Pozos, R.S. (eds) Springer Handbook of Medical Technology. Springer Handbooks. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-74658-4_32
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DOI: https://doi.org/10.1007/978-3-540-74658-4_32
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