title: Use of minimized extracorporeal circulation system in noncoronary and valve cardiac surgical procedures-a case series.
abstract: The aim of this report is to explore application of minimized cardiopulmonary bypass (CPB) circuits in areas of cardiac surgery other than coronary bypass grafting and aortic valve surgery. We report three cases operated under minimal extracorporeal circulation support. Replacement of the descending thoracic aorta was performed in two patients; one with a descending aortic aneurysm and one with pseudoaneurysm formation after previous coarctation repair. We have also implanted a left ventricular assist device for destination therapy. The minimized extracorporeal circulation system provides optimal circulatory support, while it is associated with reduced postoperative morbidity, minimizing the side effects from the use of CPB. Moreover, when off-pump technique is attempted, it can be used as a standby circuit connected to the patient so as to enhance safety of the procedure. Minimized extracorporeal circulation systems can be used with safety and efficacy in a wide range of cardiac surgeries including descending aorta pathology and assist device implantation.
authors.affiliation: Department of Cardiothoracic Surgery, AHEPA University Hospital, Thessaloniki, Greece.
authors.forename: Kyriakos
authors.initials: K
authors.lastname: Anastasiadis
authors.forename: Omiros
authors.initials: O
authors.lastname: Chalvatzoulis
authors.forename: Polychronis
authors.initials: P
authors.lastname: Antonitsis
authors.forename: Apostolos
authors.initials: A
authors.lastname: Deliopoulos
authors.forename: Helena
authors.initials: H
authors.lastname: Argiriadou
authors.forename: Georgios
authors.initials: G
authors.lastname: Karapanagiotidis
authors.forename: Dimitrios
authors.initials: D
authors.lastname: Kambouroglou
authors.forename: Christos
authors.initials: C
authors.lastname: Papakonstantinou
mesh_terms: D000368:Aged; D001013:Aorta, Thoracic / Q000601:surgery*; D006348:Cardiac Surgical Procedures / Q000295:instrumentation*; D004867:Equipment Design; D005112:Extracorporeal Circulation / Q000295:instrumentation*; D005260:Female; D006352:Heart Ventricles / Q000601:surgery*; D006353:Heart-Assist Devices; D006801:Humans; D008297:Male; D008875:Middle Aged; D008904:Miniaturization; D019919:Prosthesis Implantation / Q000295:instrumentation*