Surgical Considerations

  • Kyriakos Anastasiadis
  • Polychronis Antonitsis
  • Helena Argiriadou


Minimized cardiopulmonary bypass (CPB) systems represent a promising technology in heart surgery. The results from series of patients being operated on minimized extracorporeal circulation (MECC) are impressive, and the net outcome from their use is a stable intraoperative and postoperative course for the patient and a significantly less morbidity as well as lower perioperative mortality [1]. However, use of MECC demands a close multidisciplinary effort from the surgical team (surgeon, anaesthetist, perfusionist) comprising delicate and focused manoeuvres intraoperatively as well as a high level of cooperation from the team. Hence, a learning curve for obtaining the best performance is necessary [2]. Remadi et al. were from the first surgical teams who used the systems and first reported that the application of MECC requires the team to undergo a considerable learning curve [3]. As a result the report of a reduction in intraoperative blood loss after 50 cases with MECC was explained by this learning curve. Overall, teaching MECC has to be focused in the proper intraoperative setting, the consideration of tips and tricks, pitfalls, and drawbacks of the technique as well as the manoeuvres which are necessary from each one of the surgical team so as to perform a safe and stable procedure.


Coronary Artery Bypass Grafting Mean Arterial Pressure Inferior Vena Cava Aortic Root Venous Cannula 
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Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  • Kyriakos Anastasiadis
    • 1
  • Polychronis Antonitsis
    • 1
  • Helena Argiriadou
    • 1
  1. 1.Department of Cardiothoracic SurgeryAHEPA University Hospital Aristotle University of ThessalonikiThessalonikiGreece

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