title: The successful introduction of an adapted form of the mini extra corporeal circulation used for cardiac surgery in an obese patient.
abstract: Obese patients undergoing cardiac surgery have been shown to have a high risk of developing postoperative complications, specifically: increased length of hospital stay, readmission to intensive care unit, acute renal failure, deep sternal wound infections and new onset of atrial fibrillation.A custom-made circuit was created to allow the use of Mini Extra Corporeal Circulation (MECC) but permitting the switch to a closed siphon drainage system in the case of difficulties.To limit artificial surface contact a small oxygenating device (Admiral, Eurosets) was employed in spite of the patients size. This adapted circuit permits a feasible and safer approach to using MECC. This report suggests that smaller oxygenators could be integrated into clinical practice in an adult MECC configuration, even for more obese patients, limiting artificial surface contact.
authors.affiliation: Department of Medical Surgical Sciences and Biotechnologies, Cardiac Surgery Unit, Polo Pontino, Universita' degli Studi di Roma Sapienza, Latina, Italy.
authors.forename: Patrizio
authors.initials: P
authors.lastname: Sartini
authors.forename: Anna
authors.initials: A
authors.lastname: Winfield
authors.forename: Federico
authors.initials: F
authors.lastname: Bizzarri
mesh_terms: D000368:Aged; D001024:Aortic Valve Stenosis / Q000150:complications / Q000601:surgery*; D002315:Cardiopulmonary Bypass / Q000295:instrumentation / Q000379:methods*; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D008297:Male; D009765:Obesity / Q000150:complications*