TY - JOUR
T1 - The Heparin-coated Vascular Shunt for Thoracic Aortic and Great Vessel Procedures
T2 - A Ten-Year Experience
AU - Donahoo, James S.
AU - Brawley, Robert K.
AU - Gott, Vincent L.
PY - 1977
Y1 - 1977
N2 - From 1966 to 1976 a flexible, heparin-coated shunt was used for operative procedures on the thoracic aorta and great vessels in 25 patients aged 15 to 78 years. Twenty patients had resection of aneurysms of the descending thoracic aorta. There was 1 death in 15 patients undergoing elective resection and 2 deaths (both from rupturing aneurysms) in 5 patients having emergency resection. The shunt was used in 5 patients who had procedures involving the great vessels. There have been no complications attributable to the shunt in either group. The advantages of this shunt include elimination of the need for systemic heparin, avoidance of hypertension during cross-clamping, and adequate perfusion of the distal circulation without an interposed pump. Because of the ease of handling, low risk, and versatility, we consider the use of this shunt the preferred method for support in elective procedures of the thoracic aorta and great vessels.
AB - From 1966 to 1976 a flexible, heparin-coated shunt was used for operative procedures on the thoracic aorta and great vessels in 25 patients aged 15 to 78 years. Twenty patients had resection of aneurysms of the descending thoracic aorta. There was 1 death in 15 patients undergoing elective resection and 2 deaths (both from rupturing aneurysms) in 5 patients having emergency resection. The shunt was used in 5 patients who had procedures involving the great vessels. There have been no complications attributable to the shunt in either group. The advantages of this shunt include elimination of the need for systemic heparin, avoidance of hypertension during cross-clamping, and adequate perfusion of the distal circulation without an interposed pump. Because of the ease of handling, low risk, and versatility, we consider the use of this shunt the preferred method for support in elective procedures of the thoracic aorta and great vessels.
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U2 - 10.1016/S0003-4975(10)63692-2
DO - 10.1016/S0003-4975(10)63692-2
M3 - Article
C2 - 869620
AN - SCOPUS:0017643871
SN - 0003-4975
VL - 23
SP - 507
EP - 513
JO - Annals of Thoracic Surgery
JF - Annals of Thoracic Surgery
IS - 6
ER -