Use of partial cardiopulmonary bypass during the anhepatic phase of orthotopic liver grafting.
Femoro-femoral partial cardiopulmonary bypass has been used in two patients under going orthotopic liver allografting who had severe cardiovascular disturbances on trial clamping of their venae cavae. Flows of 2-3 litres/min resulted in satisfactory cardiovascular control during the anhepatic phase in each ase. A third patient who tolerated caval clamping withstood the grafting without bypass. Having bypass available for use in critical cases could increase the safety of orthotopic liver transplantation.
D000328:Adult; D000368:Aged; D002315:Cardiopulmonary Bypass / Q000379:methods*; D002404:Catheterization / Q000379:methods; D003250:Constriction; D005260:Female; D005263:Femoral Artery / Q000601:surgery; D005268:Femoral Vein / Q000601:surgery; D006505:Hepatitis / Q000601:surgery; D006801:Humans; D007430:Intraoperative Care; D008099:Liver / Q000098:blood supply; D008105:Liver Cirrhosis, Biliary / Q000601:surgery; D016031:Liver Transplantation; D008875:Middle Aged; D011167:Portacaval Shunt, Surgical / Q000379:methods; D014184:Transplantation, Homologous; D014682:Vena Cava, Inferior / Q000601:surgery