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J Thorac Cardiovasc Surg 2003;125:456
© 2003 The American Association for Thoracic Surgery

Editorials

Competing perfusion strategies: Effect on microvascular oxygen tension

Frank A. Pigula, MD

From the Division of Cardiothoracic Surgery, Children's Hospital of Pittsburgh, Pittsburgh, Pa.

Received for publication Oct 4, 2002. Accepted for publication Oct 18, 2002. Address for reprints: Frank A. Pigula, MD, Division of Cardiothoracic Surgery, Children's Hospital of Pittsburgh, Room 2820, 2nd Floor, Main Tower, Pittsburgh, PA 15213 (E-mail: pigulaf@heart.chp.edu).

The first 20% of the full text of this article appears below.

See related article on page 472.

Increasing knowledge and experience in the surgical treatment of congenital heart disease has translated into improvements in operative mortality. However, to obtain these results we subject very young patients to physiologic extremes (ie, profound hypothermia, low flow, and deep hypothermic circulatory arrest [DHCA]) unheard of elsewhere in medicine. As a consequence, more attention is now being directed at the long-term cognitive and neuropsychiatric outcomes of these children. Perfusion management and organ protection is an important factor that undoubtedly contributes to . . . [Full Text of this Article]


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Tissue oxygen tension during regional low-flow perfusion in neonates
William M. DeCampli, Gregory Schears, Richard Myung, Steven Schultz, Jennifer Creed, Anna Pastuszko, and David F. Wilson
J. Thorac. Cardiovasc. Surg. 2003 125: 472-480. [Abstract] [Full Text] [PDF]





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