This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Sutton, S. W Articles by Cheung, E. H Search for Related Content PubMed PubMed Citation Articles by Sutton, S. W Articles by Cheung, E. H Pubmed/NCBI databases Medline Plus Health Information COPD (Chronic Obstructive Pulmonary Disease) Social Bookmarking                         What's this?

Perfusion-assisted beating heart support with a miniature extracorporeal circuit and leukocyte filtration: a 58-year-old patient with severe COPD

Baylor University Medical Center, Dallas, Texas, USA, ssutton240{at}aol.com

Michael A Duncan

Baylor University Medical Center, Dallas, Texas, USA

Virginia A Chase

Baylor University Medical Center, Dallas, Texas, USA

Baron L Hamman

Department of Thoracic and Cardiovascular Sugery, Baylor University Medical Center, Dallas, Texas, USA

Edson H Cheung

Department of Thoracic and Cardiovascular Surgery, Baylor University Medical Center, Dallas, Texas, USA

Patients with severe chronic obstructive pulmonary disease (COPD) impose a significant risk for postoperative morbidity and mortality requiring cardiovascular surgical intervention and the use of extracorporeal circulation. Recently, we treated a 58-year-old male with acute coronary syndrome complicated with recurrent ventricular arrhythmia, hypoxemia secondary to severe COPD and resolving pneumonia, who required urgent coronary revascularization. A novel operative strategy was used that included beating heart bypass grafting with cardiac decompression and support with a miniature perfusion circuit, kinetic-assisted venous return, rapid autologous priming and leukocyte filtration. The combination of multiple modalities was chosen because the patient was in a pre-existing inflammatory condition and had severe COPD. We herein report our perioperative clinical experience with this patient and the use of multiple modalities for extracorporeal perfusion therapy in managing this challenging case. We believe that, based upon his clinical course of ventilation time (17.4 hours) and postoperative length of hospital stay (5 days), this high risk patient demonstrated a positive clinical outcome as a result of these techniques.

Perfusion, Vol. 19, No. 6, 369-373 (2004)
DOI: 10.1191/0267659104pf772cr


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?