Journal of Clinical Anesthesia
Volume 21, Issue 8 , Pages 562-566 , December 2009

The effect of left heart bypass on pulmonary blood flow and arterial oxygenation during one-lung ventilation in patients undergoing descending thoracic aortic surgery

  • Koichi Yuki, MD (Staff Anesthesiologist)

      Affiliations

    • Department of Anesthesiology, Itabashi Chuo Medical Center, Azusawa, Itabashi-ku, Tokyo, 174-0051, Japan
    • Corresponding Author InformationCorresponding author. Tel.: +81 3 3967 1181; fax: +81 3 3967 4941.
    • ,
  • Chieko Sakuramoto, MD (Chief Anesthesiologist)

      Affiliations

    • Department of Anesthesiology, Machida Municipal Hospital, Japan
    • ,
  • Chieko Matsumoto, MD (Staff Anesthesiologist)

      Affiliations

    • Asoka Hospital, Tokyo, Japan
    • ,
  • Mariko Hoshino, MD (Clinical Assistant Chief of Anesthesiology)

      Affiliations

    • Tokyo Saiseikai Central Hospital, Japan
    • ,
  • Yoshinari Niimi, MD (Chief of Anesthesiology and Hospital)

      Affiliations

    • Department of Anesthesiology, Itabashi Chuo Medical Center, Azusawa, Itabashi-ku, Tokyo, 174-0051, Japan

Received 8 April 2008 ,Revised 20 December 2008 ,Accepted 30 December 2008.

References 

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  2. Coselli JS, Conklin LD, LeMaire SA. Thoracoabdominal aortic aneurysm repair: review and update of current strategies. Ann Thorac Surg. 2002;74:S1881–S1884
  3. Schepens MA, Defauw JJ, Hamerlijnck RP, Vermeulen FE. Use of left heart bypass in the surgical repair of thoracoabdominal aortic aneuryms. Ann Vasc Surg. 1995;9:327–338
  4. Coselli JS, LeMaire SA. Left heart bypass reduces paraplegia rates after thoracoabdominal aortic aneurysm repair. Ann Thorac Surg. 1999;67:1931–1934
  5. Coselli JS. The use of left heart bypass in the repair of thoracoabdominal aortic anuerysms: current techniques and results. Semin Thorac Cardiovasc Surg. 2003;15:325–332
  6. Kitamura M, Hashimoto A, Tagusari O, Akimoto T, Aomi S, Koyanagi H. Operation for type B aortic dissection: introduction of left heart bypass. Ann Thorac Surg. 1995;59:1200–1203
  7. Barkhordarian S, Dardik A. Preoperative assessment and management to prevent complications during high-risk vascular surgery. Crit Care Med. 2004;32(4 Suppl):S174–S185
  8. Aomi S, Hashimoto A, Tagusari O, et al. A new supportive method of aortic aneurysm surgery: centrifugal left heart bypass combined with an oxygenator and a heat exchanger. Artif Organs. 1996;20:700–703
  9. Kwitka G, Nugent M. Thoracic and abdominal aortic aneurysm resections. In:  Kaplan JA editors. Vascular Anesthesia. New York, NY: Churchill Livingstone; 1991;p. 363–394
  10. Beck DH, Doepfmer UR, Sinemus C, Bloch A, Schenk MR, Kox WJ. Effects of sevoflurane and propofol on pulmonary shunt fraction during one-lung ventilation for thoracic surgery. Br J Anaesth. 2001;86:38–43
  11. Bjertnaes L, Hauge A, Kriz M. Hypoxia-induced pulmonary vasocontriction: effects of fentanyl following different routes of administration. Acta Anaesthesiol Scand. 1980;24:53–57
  12. Lehr R. Sixteen S-squared over D-squared: a relation for crude sample size estimates. Stat Med. 1992;11:1099–1102
  13. West JB, Dollery CT, Naimark A. Distribution of blood flow in isolated lung; relation to vascular and alveolar pressure. J Appl Physiol. 1964;19:713–724
  14. Ward JP. Aaronson PI. Mechanisms of hypoxic pulmonary vasoconstriction: can anyone be right?. Respir Physiol. 1999;115:261–271

PII: S0952-8180(09)00266-9

doi: 10.1016/j.jclinane.2008.12.028

Journal of Clinical Anesthesia
Volume 21, Issue 8 , Pages 562-566 , December 2009

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