Beating Heart Surgery with Pulmonary Perfusion and Ventilation During Cardiopulmonary Bypass: Target Organs' Perfusion Without Plegia

Myocardial and pulmonary ischemia during cardiopulmonary bypass (CPB) is associated with cardiac and pulmonary dysfunction that may result in poor outcomes after cardiac surgery. Beating heart surgery and continuous pulmonary perfusion and ventilation represent emerging strategies targeting the card...

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Bibliographic Details
Published in:Seminars in thoracic and cardiovascular surgery 2012, Vol.24 (4), p.308-310
Main Authors: Macedo, Francisco Igor B., MD, Gologorsky, Edward, MD, Costa, Ana Claudia B.A., BSc, Pham, Si M., MD, Salerno, Tomas A., MD
Format: Article
Language:English
Subjects:
beating heart surgery
Cardiac Surgical Procedures - adverse effects
cardiopulmonary bypass
Cardiopulmonary Bypass - adverse effects
Cardiothoracic Surgery
Humans
Lung Injury - etiology
Lung Injury - prevention & control
lung protection
Myocardial Reperfusion Injury - etiology
Myocardial Reperfusion Injury - prevention & control
Perfusion - adverse effects
Perfusion - methods
Pulmonary Circulation
Reperfusion Injury - etiology
Reperfusion Injury - physiopathology
Reperfusion Injury - prevention & control
Respiration, Artificial
Treatment Outcome
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Summary:Myocardial and pulmonary ischemia during cardiopulmonary bypass (CPB) is associated with cardiac and pulmonary dysfunction that may result in poor outcomes after cardiac surgery. Beating heart surgery and continuous pulmonary perfusion and ventilation represent emerging strategies targeting the cardiopulmonary bypass-induced ischemia and ischemia-reperfusion injury in susceptible organs—heart and lungs.
ISSN:1043-0679
1532-9488
DOI:10.1053/j.semtcvs.2012.08.002