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Heparin-coated cardiopulmonary bypass: a clinical case incorporating a standard cardiotomy

Michael J Hollingsed

Department of Surgery, West Virginia University School of Medicine

Ronald C Hill

Department of Surgery, West Virginia University School of Medicine

Ronald Wittig

Department of Surgery, West Virginia University School of Medicine

Gordon F Murray

Department of Surgery, West Virginia University School of Medicine

Edward H Stullken

Department of Anesthesia, Health Sciences North, West Virginia University School of Medicine, Morgantown

Heparin-less bypass systems are presently being used in the cardiothoracic surgery community. Their unique advantages include reduced utilization of heparin and its pharmacotoxic disadvantages, diminished utilization of protamine and its pharmacotoxicity, reduction in homologous blood utilization postbypass, moderation of the coagulation cascade, enhanced safety, and a remission in the thrombogenesis of the cardiopulmonary circuit. A clinical case is presented. Unique in this case was the incorporation of a standard cardiotomy. A change in performance characteristics for the oxygenator and postbypass coagulation profiles was also discovered.

Perfusion, Vol. 7, No. 4, 305-314 (1992)
DOI: 10.1177/026765919200700410
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