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The Journal of Thoracic and Cardiovascular Surgery, Vol 69, 283-290, Copyright © 1975 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
E Glassman, RM Engelman, AD Boyd, D Lipson, B Ackerman and FC Spencer
A large-bore polyvinyl catheter was devised for passage into the left
atrium by means of a modified transseptal catheterization technique. This
was performed without difficulty using both pulsatile and nonpulsatile
bypass in the closed-chest animal as well as in 3 terminally ill patients.
Blood was drained from the left atrium and returned to the femoral artery
through an extracorporeal circuit. The shock syndrome produced by coronary
embolization in dogs was successfully managed in this fashion. The results
of the clinical trials were encouraging. Assisted left heart circulation
using a closed- chest left atrial-femoral artery bypass seems feasible by
this technique.
ARTICLES
A method of closed-chest cannulation of the left atrium for left atrial- femoral artery bypass
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