Advanced Search

Journal Navigation

Journal Home

Subscriptions

Archive

Contact Us

Table of Contents

Sign In to gain access to subscriptions and/or personal tools.
Perfusion
This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via Google Scholar
Right arrow Citing Articles via Scopus
Google Scholar
Right arrow Articles by Molnar, J
Right arrow Articles by Klein, A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Molnar, J
Right arrow Articles by Klein, A.
Social Bookmarking
Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?

research-article

Cardiopulmonary bypass and deep hypothermic circulatory arrest in a massively obese patient

J Molnar

Department of Anaesthesia, Papworth Hospital, Cambridge, United Kingdom

S Colah

Department of Clinical Perfusion, Papworth Hospital, Cambridge, United Kingdom

M Larobina

Department of Surgery, Papworth Hospital, Cambridge, United Kingdom

SR Large

Department of Surgery, Papworth Hospital, Cambridge, United Kingdom

JE Arrowsmith

Department of Anaesthesia, Papworth Hospital, Cambridge, United Kingdom

AA Klein

Department of Anaesthesia, Papworth Hospital, Cambridge, United Kingdom andrew.klein{at}papworth.nhs.uk

As a consequence of the rising global prevalence and magnitude of obesity, a greater proportion of patients presenting for cardiac surgery is morbidly obese. Being overweight (body mass index; BMI 25-29.9 kg/m2) or obese (BMI 30-35 kg/m2) appears to confer some survival benefit following cardiac surgery. By contrast, morbid obesity (BMI >40 kg/m2) is associated with an increased likelihood of postoperative complications and prolonged intensive care unit and hospital length of stay. The physical difficulties encountered when managing this group of patients is exemplified by those undergoing complex, multiple procedures requiring prolonged cardiopulmonary bypass (CPB) and deep hypothermic circulatory arrest (DHCA). We present the successful management of a massively obese 19-year-old male (BMI 45 kg/m2) with Marfan’s syndrome who required aortic root and arch replacement under DHCA. The selection of extracorporeal circuit components to accommodate a large circulating volume and permit high CPB flow rates (>9 l/min) is discussed.

Key Words: *adverse effects • aorta • cardiac surgical procedures • *complications • diagnosis • hypothermia • induced • Marfan syndrome • methods • morbid • obesity • *surgery • surgery • thoracic

Perfusion, Vol. 23, No. 4, 243-245 (2008)
DOI: 10.1177/0267659108099790
Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter    What's this?