Skip to main content Accessibility help
×
Hostname: page-component-848d4c4894-wg55d Total loading time: 0 Render date: 2024-05-23T19:22:31.777Z Has data issue: false hasContentIssue false

Chapter 15 - Cardiopulmonary bypass in non-cardiac procedures

Published online by Cambridge University Press:  15 December 2009

Sunit Ghosh
Affiliation:
Papworth Hospital, Cambridge
Florian Falter
Affiliation:
Papworth Hospital, Cambridge
David J. Cook
Affiliation:
Mayo Clinic, Minnesota
Get access

Summary

This chapter discusses the various indications to resort to cardiopulmonary bypass (CPB) in clinical circumstances outside of the routine cardiac surgical arena. Surgical procedures on the aorta can be undertaken by either disrupting flow to some organs completely or by supporting organ perfusion using CPB. The chapter summarizes commonly encountered aortic pathology, the surgical approaches used and requirements for perfusion. The most commonly encountered pathologies are dissection, aneurysmal dilatation and transection of the aorta. Deep hypothermic circulatory arrest (DHCA) is required and in addition selective antegrade cerebral perfusion or retrograde cerebral perfusion may be used to try to protect the brain from ischemia. Transection of the aorta occurs as a result of blunt thoracic injury. The commonest indication to resort to CPB is the excision of a liver or renal malignancy growing into the inferior vena cava and occasionally into the right atrium.
Type
Chapter
Information
Publisher: Cambridge University Press
Print publication year: 2009

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×