A simple technique can reduce cardiopulmonary bypass use during lung transplantation

Cardiopulmonary bypass causes an inflammatory response and consumption of coagulation factors, increasing the risk of bleeding and neurological and renal complications. Its use during lung transplantation may be due to pulmonary hypertension or associated cardiac defects or just for better exposure...

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Bibliographic Details
Published in:Clinics (São Paulo, Brazil) Brazil), 2016-04, Vol.71 (4), p.232-234
Main Authors: Samano, Marcos N, Iuamoto, Leandro R, Fonseca, Hugo V S, Fernandes, Lucas M, Abdalla, Luis G, Jatene, Fabio B, Pêgo-Fernandes, Paulo M
Format: Article
Language:English
Subjects:
Cardiopulmonary Bypass
Hemodynamics
Humans
Lung Transplantation
Lung Transplantation - instrumentation
Lung Transplantation - methods
Medical Illustration
MEDICINE, GENERAL & INTERNAL
Operative
Pericardium
Rapid Communication
Surgical Procedures
Thoracic Surgery
Thoracic Surgical Procedures
Thoracotomy - methods
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Summary:Cardiopulmonary bypass causes an inflammatory response and consumption of coagulation factors, increasing the risk of bleeding and neurological and renal complications. Its use during lung transplantation may be due to pulmonary hypertension or associated cardiac defects or just for better exposure of the pulmonary hilum. We describe a simple technique, or open pericardium retraction, to improve hilar exposure by lifting the heart by upward retraction of the pericardial sac. This technique permits lung transplantation without cardiopulmonary bypass when bypass use is recommended only for better exposure.
ISSN:1807-5932
1980-5322
1980-5322
DOI:10.6061/clinics/2016(04)10