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European approach to cardiopulmonary bypass in neonates

Published online by Cambridge University Press:  19 August 2008

Magdi H. El Habbal  and
Martin J. Elliott
Magdi H. El Habbal
Affiliation:
From the Institute of Child Health and The Hospital For Sick Children, London
Martin J. Elliott*
Affiliation:
From the Institute of Child Health and The Hospital For Sick Children, London
*
Mr. Martin J. Elliott, Cardiothoracic Unit, The Hospital For Sick Children, Great Ormond Street, London WCIN 3JH, United Kingdom.
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Extract

The advent of cardiopulmonary bypass in 1953, and its subsequent continuous refinements, have securely established the specialty of cardiovascular surgery. In conjunction with the improved methods of myocardial preservation, this has allowed the safe repair of acquired and complex congenital cardiac defects. During the years, the many variables of the systems used for cardiopulmonary bypass have been altered to the point that most operations are now reproducible with, relatively, low morbidity and mortality. Although in its present form the system is quite reasonable for most routine surgery, it is far from perfect. There remains, therefore, a quest for alterations to improve the system as an ongoing process. Certain complications of open-heart surgery persist and many new and unique approaches to the concept of organ protection and the treatment of these complications must be developed and refined.

Keywords

Perfusionprimecardioplegiaarterial switch procedureultrafiltration
Type
World Forum for Pediatric Cardiology Symposium on Cardiopulmonary Bypass (Part 2)
Information
Cardiology in the Young , Volume 3 , Issue 4 , October 1993 , pp. 347 - 352
Copyright
Copyright © Cambridge University Press 1993

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References

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