Thorac Cardiovasc Surg 2002; 50(2): 100-101
DOI: 10.1055/s-2002-26689
Case Report
© Georg Thieme Verlag Stuttgart · New York

Vacuum-Assisted Venous Drainage in Complex Congenital Cardiac Surgery

T.  Walther1 , V.  Tsang2 , D.  Hawkey2 , M.  de Leval2
  • 1Klinik für Herzchirurgie, Herzzentrum, Unviersität Leipzig, Germany
  • 2Heart Hospital and Great Ormond Street Hospital for Children, London, UK
Weitere Informationen

Publikationsverlauf

August 8, 2001

Publikationsdatum:
30. April 2002 (online)

Abstract

Here, we report on a case of temporary neurological damage following conduit replacement from the right ventricle to pulmonary artery during which vacuum-assisted venous drainage was used. We will discuss the benefits and risks of this technique with potential arterial air embolism despite the use of arterial line filters. We will also make recommendations for avoiding such complications.

References

  • 1 Ojito J W, Hannan R L, Miyaji K, White J A, McConaghey T W, Jacobs J P, Burke R P. Assisted venous drainage cardiopulmonary bypass in congenital heart surgery.  Ann Thorac Surg. 2001;  71 1267-1272
  • 2 Muth C M, Shank E S. Gas embolism.  N Engl J Med. 2000;  342 476-482
  • 3 Pugsley W, Klinger L, Paschalis C, Treasure T, Harrison M, Newman S. The impact of microemboli during cardiopulmonary bypass on neuropsychological functioning.  Stroke. 1994;  25 1393-1399
  • 4 Willcox T W, Mitchell S J, Gorman D F. Venous air in the bypass circuit: A source of arterial line emboli exacerbated by vacuum-assisted drainage.  Ann Throac Surg. 1999;  68 1285-1289
  • 5 LaPietra A, Grossi E A, Pua B B, Esposito R A, Galloway A C, Derivaux C C, Glassmann L R, Culliford A T, Ribakove G H, Colvin S B. Assisted venous drainage presents the risk of undetected air microembolism.  J Thorac Cardiovasc Surg. 2000;  120 856-863
  • 6 Berryessa R, Wiencek R, Jacobson J, Hollingshead D, Farmer K, Cahill G. Vacuum-assisted venous return in pediatric cardiopulmonary bypass.  Perfusion. 2000;  15 63-67

Correspondence

Dr. Thomas Walther

Klinik für Herzchirurgie, Herzzentrum, Universität Leipzig

Strümpellstraße 39

04289 Leipzig

Telefon: + 49 3418651421.

Fax: + 49 3418651452

eMail: walt@medizin.uni-leipzig.de