Use of Two Parallel Oxygenators in a Very Large Patient (2.76 m2) for an Acute 'A' Dissecting Aortic Aneurysm Repair
| Autor: | Vladimír Lonský, Jiří Manďák, Jaroslav Kubíček, Martin Volt, Egon Procházka, Jan Dominik |
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| Jazyk: | angličtina |
| Rok vydání: | 2005 |
| Předmět: | |
| Zdroj: | Acta Medica, Vol 48, Iss 2, Pp 95-98 (2005) |
| Druh dokumentu: | article |
| ISSN: | 18059694 1211-4286 1805-9694 |
| DOI: | 10.14712/18059694.2018.39 |
| Popis: | The very large patient (weight 142 kg, height 197 cm, body surface 2.76 m2) was referred to acute operation with dissecting type A ascending aortic aneurysm. The calculated blood flow was 6.63 l/min. To anticipate potential difficulties with perfusion and oxygenation two oxygenators connected in parallel were incorporated into the circuit. Bentall procedure with ACB to the RCA was performed. The perfusion was uneventful. Bypass time was 259 minutes, cross – clamp time 141 minutes, circulatory arrest 7 minutes. The highest oxygenators gas flow was 2.6 l/min with maximum FiO2 0.42. The use of two in parallel connected oxygenators is a very effective, easy and safe method in such extreme perfusions, offering to the perfusionist a great reserve of oxygenator output. |
| Databáze: | Directory of Open Access Journals |
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