Indications for cardiopulmonary bypass in non-cardiac operations

Nair, K S; Lawrence, David; Punjabi, Prakash P; Taylor, Kenneth M.

doi:10.1191/0267659102pf575oa

Cited by 5 publications

(4 citation statements)

References 38 publications

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“…Over half a century, CPB has been refined and used for multiple cardiac and various non-cardiac indications [ 5 ]. Since then, CPB equipments have enabled surgeons to perform increasingly complex cardiac and other challenging operations [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

Interventional bronchoscopy for benign tracheobronchial diseases under cardiopulmonary bypass support: case reports and literature review

Adwan

Wigfield

Clark

et al. 2008

J Cardiothorac Surg

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The use of cardiopulmonary bypass as an adjunct to airway surgery for non-malignant diseases in adults is not well established in the UK. We are reporting two cases which demonstrate the additional benefits of using cardiopulmonary bypass during difficult bronchoscopy and complex airway stenting. The first case presents an emergency indication for cardiopulmonary bypass in a life-threatening but benign condition. The second case presented, utilises cardiopulmonary bypass standby as adjunct to a potentially life threatening procedure. A review of the literature is also provided.

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Section: Discussionmentioning

confidence: 99%

Interventional bronchoscopy for benign tracheobronchial diseases under cardiopulmonary bypass support: case reports and literature review

Adwan

Wigfield

Clark

et al. 2008

J Cardiothorac Surg

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“…Rarely, some intractable cases may require the application of tracheotomy or the implementation of special life support, such as cardiopulmonary bypass (CPB), to facilitate FB extraction [3] . Over half a century, CPB has been developed as an adjunctive or rescue therapy for multiple cardiac and various non-cardiac indications (e.g., respiratory or cardiac failure, cardiac or lung support, cardiopulmonary resuscitation, heart or lung surgery/transplantation) [4] . It provides adequate gaseous exchange by improving tissue oxygenation or carbon dioxide removal or temporary cardiorespiratory support to enable surgeons to perform various complex cardiac or challenging operations [5] .…”

Section: Introductionmentioning

confidence: 99%

“…[3] Over half a century, CPB has been developed as an adjunctive or rescue therapy for multiple cardiac and various non-cardiac indications (e.g., respiratory or cardiac failure, cardiac or lung support, cardiopulmonary resuscitation, heart or lung surgery/transplantation). [4] It provides adequate gaseous exchange by improving tissue oxygenation or carbon dioxide removal or temporary cardiorespiratory support to enable surgeons to perform various complex cardiac or challenging operations. [5] Tracheal anomalies, which can remain asymptomatic and are incidental findings on imaging, are relatively uncommon.…”

Section: Introductionmentioning

confidence: 99%

Cardiopulmonary bypass as a bridge for bronchial foreign body removal in a child with pulmonary artery sling

Huang

et al. 2021

Medicine

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Rationale:Successful removal of an airway foreign body (FB) in some intractable cases can be very challenging, because of tracheal anomalies, unstable respiratory status of the patients, and the location of FB. The use of cardiopulmonary bypass (CPB) support for the treatment of a FB is extremely rare.Patient concerns:We present a case of a 39-month-old previously healthy girl who was admitted to our hospital for suspected FB aspiration (FBA). Initially, the attempt for removal of the FB by conventional bronchoscopy failed because of hypoxic intolerance.Diagnoses:Bronchoscopy revealed tracheal anomalies and subsequent computed tomography angiography demonstrated the presence of a pulmonary artery sling (PAS), which confirmed the diagnosis of PAS accompanied with FBA.Interventions:With the assistance of CPB, multidisciplinary treatment involving the respiratory, cardiothoracic and anesthetic teams were involved and the bronchial FB was removed by flexible bronchoscopy successfully and then PAS was corrected by surgical intervention.Outcomes:The patient remained asymptomatic, without shortness of breath or wheezing during the 15 months follow-up.Lessons:This case highlights that in a complicated case of FBA, bronchoscopy and computed tomography imaging are of great importance to achieve an accurate diagnosis, and a multidisciplinary treatment approach is essential for a satisfactory outcome. If the patient is unstable for bronchoscopy, CPB can be temporarily used in the stabilization of the patient to allow safe removal of the FB.

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“…CPB and total circulatory arrest have been of value in converting an otherwise inoperable tumour to one amenable to a relatively safe surgical procedure. 2 These new situations where CPB is used in non-cardiac surgeries present new challenges for the operating teams and perfusionists. One such challenge is that presented by patients with a Protein C(PC) deficiency that requires CPB for their surgery.…”

Section: Introductionmentioning

confidence: 99%

Utilising cardiopulmonary bypass for cancer surgery. Malignancy-induced protein C deficiency and thrombophilia

Marshall

2007

Perfusion

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Cardiopulmonary bypass has evolved over the last 30 years. It is an important tool for the cardiac surgeon today and also has applications in non-cardiac operations such as surgery to extract tumours. Such patients undergoing surgery for cancer may be at an increased risk of a thromboembolic event post surgery, due to disturbances in the normal clotting pathway leading to hypercoagulability. One such disturbance is malignancy-induced Protein C deficiency. A deficiency of Protein C can cause hypercoagulabitity. Recent studies have examined cardiopulmonary bypass and inherited Protein C deficiency. However, surgery for cancer patients with a malignancy-induced Protein C deficiency involving cardiopulmonary bypass has not been reported. Surgery using CPB in these patients may result in increased morbidity and mortality. The objective of this article is to review the literature in order to discuss the occurrence, the aetiology and possible management of cancer patients with malignancy-induced Protein C deficiencies that require cardiopulmonary bypass for their surgery.

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Indications for cardiopulmonary bypass in non-cardiac operations

Cited by 5 publications

References 38 publications

Interventional bronchoscopy for benign tracheobronchial diseases under cardiopulmonary bypass support: case reports and literature review

Interventional bronchoscopy for benign tracheobronchial diseases under cardiopulmonary bypass support: case reports and literature review

Cardiopulmonary bypass as a bridge for bronchial foreign body removal in a child with pulmonary artery sling

Utilising cardiopulmonary bypass for cancer surgery. Malignancy-induced protein C deficiency and thrombophilia

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