초록접수 현황
| 16F-281 | 구연 발표 |
Cardiac Surgery under Closed Cardiopulmonary Bypass Systems
Min Suk Choi, Jin Ho Choi
Department of Thoracic and Cardiovascular Surgery, Eulji University Hospital, Eulji University College of Medicine, Daejeon, Korea
Background : Cardiopulmonary bypass (CPB) which is composed of closed circuit has been known to be easier to prime, use heparin less or decrease systemic inflammatory response syndrome more than the conventional CPB. We are going to report our experience of the closed CPB system.
Methods : Thirty-five operations which were done with closed CPB system between November 2010 and May 2016 were analyzed retrospectively. The operations were 32 coronary artery bypass grafting (CABG), 2 valvular operations and 1 descending thoracic aortic operation. The indications of CABG with the closed system were elective operation, urgent conversion from off-pump CABG or preoperative stabilization of unstable vital signs. Valvular and aortic operations were elective ones and the patients were combined with bleeding tendency in multiple organs. The closed CPB system for valvular operations was made by the modification of the conventional circuit to convert to conventional open system promptly in time of emergency.
Results : The most common early complication was using the closed system even after the operation due to heart failure (12 cases). Eight patients had been applied the closed system before the operations because of unstable vital signs and all of them used the system even after the operations. There were 6 in-hospital mortalities and all of them were dependent on the system even after the operations, too.
Conclusion : It was feasible to use the closed CPB system for elective operations. Even though the prognosis was not good to apply it to unstable patients, we think it is also a useful option for them.
Methods : Thirty-five operations which were done with closed CPB system between November 2010 and May 2016 were analyzed retrospectively. The operations were 32 coronary artery bypass grafting (CABG), 2 valvular operations and 1 descending thoracic aortic operation. The indications of CABG with the closed system were elective operation, urgent conversion from off-pump CABG or preoperative stabilization of unstable vital signs. Valvular and aortic operations were elective ones and the patients were combined with bleeding tendency in multiple organs. The closed CPB system for valvular operations was made by the modification of the conventional circuit to convert to conventional open system promptly in time of emergency.
Results : The most common early complication was using the closed system even after the operation due to heart failure (12 cases). Eight patients had been applied the closed system before the operations because of unstable vital signs and all of them used the system even after the operations. There were 6 in-hospital mortalities and all of them were dependent on the system even after the operations, too.
Conclusion : It was feasible to use the closed CPB system for elective operations. Even though the prognosis was not good to apply it to unstable patients, we think it is also a useful option for them.
책임저자: Jin Ho Choi
Department of Thoracic and Cardiovascular Surgery, Eulji University Hospital, Eulji University College of Medicine, Daejeon, Korea
발표자: Min Suk Choi, E-mail : doctorchoi@ymail.com