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The Annals of Thoracic Surgery, Vol 51, 842-843, Copyright © 1991 by The Society of Thoracic Surgeons


ARTICLES

Dissectors for pulmonary thromboendarterectomy

PO Daily, WP Dembitsky and RP Daily
Sharp Memorial Hospital, San Diego, California.

Even with circulatory arrest during pulmonary thromboendarterectomy, continued back-bleeding obscures the operative field. This necessitates frequent interruptions of dissection to allow aspiration with a second instrument. Therefore, pulmonary thromboendarterectomy dissectors are described that allow simultaneous suction of blood from the operative field. Before the use of these dissectors, circulatory arrest time was 59 +/- 23 minutes in 124 consecutive patients. In the last 10 consecutive patients using these dissectors, the mean circulatory arrest time has been 52 +/- 22 minutes (p = not significant). It is anticipated that with a larger database, the ability to aspirate blood simultaneously during the dissecting process will result in a significant shortening of circulatory arrest time.


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Copyright © 1991 by The Society of Thoracic Surgeons.