Open-heart Surgery for Repair of Congenital Defects

PEDIATRICS ◽  
1959 ◽  
Vol 24 (1) ◽  
pp. 22-22
Keyword(s):  
Heart Surgery ◽  
Surgical Repair ◽  
Open Heart Surgery ◽  
The Body ◽  
Congenital Defects ◽  
Open Heart ◽  
General Reader ◽  
Total Body ◽  
Considerable Body

Anyone anxious to know more about developments in the rapidly-expanding field of surgical repair of congenital defects of the heart by open-heart techniques will find this paper instructive. The various types of apparatus which have been used to maintain the circulation and oxygenation of blood outside the body, leaving the heart free for surgical repair, are described. The physiologic changes during total-body perfusion and the means taken to insure homeostasis during the procedure are discussed. The author gives a brief description of his experience in the repair of congenital defects of the heart with the various techniques. A considerable body of interesting information is provided in a succinct and clear fashion for the general reader.

Comparative assessment of risk of development of purulent septic infections in children after open and closed cardiac operations for congenital diseases

2021 ◽  
pp. 41-44
Author(s):  
L. G. Kudryavtseva ◽  
P. V. Lazarkov ◽  
V. I. Sergevnin
Keyword(s):  
Heart Surgery ◽  
Open Heart Surgery ◽  
Lung Ventilation ◽  
Comparative Assessment ◽  
Congenital Defects ◽  
Open Heart ◽  
Case Definitions ◽  
Standard Case ◽  
Congenital Diseases ◽  
Endovascular Interventions

Purpose of the study. Comparative assessment of the incidence of nosocomial purulent-septic infections (PSI) in children after open and closed heart surgery for congenital defects.Materials and methods. 503 medical records of children after cardiac surgery were studied. GSI was identified according to epidemiological standard case definitions.Results. It turned out that the incidence rate of PSI in children after open heart surgery is an order of magnitude higher than after minimally invasive endovascular interventions. Hospital-acquired pneumonia most often occurs in children after operations.Conclusion. The increased incidence of PSI after open heart surgery, as compared to endovascular surgery, is due to a longer surgical intervention and the subsequent longer stay of patients in the intensive care unit, where such an epidemiologically significant procedure as artificial lung ventilation is performed.

Open Heart Surgery Using Total Body Perfusion

1959 ◽  
Vol 25 (2) ◽  
pp. 156-163
Author(s):  
George Stirling ◽  
Richard A. DeWall ◽  
Herbert E. Warden ◽  
Richard L. Varco ◽  
C. Walton Lillehei
Keyword(s):  
Heart Surgery ◽  
Open Heart Surgery ◽  
Open Heart ◽  
Total Body

Effects of cardiopulmonary bypass on the coagulation system

1993 ◽  
Vol 3 (3) ◽  
pp. 251-256 ◽  
Author(s):  
L. Henry Edmunds
Keyword(s):  
Cardiopulmonary Bypass ◽  
Heart Surgery ◽  
Open Heart Surgery ◽  
The Body ◽  
Coagulation System ◽  
Open Heart ◽  
Vasoactive Substances

Cardiopulmonary bypass makes a mess of homeostasis. Extracorporeal perfusion produces pulseless flow without physiologic controls, showers microemboli throughout the body, and brings blood diluted with additives to an enzymatic boil. Much of the morbidity associated with open heart surgery is due to contact of blood with the synthetic surfaces of the extracorporeal perfusion circuit. Bypass temporarily impairs function of every organ, alters concentrations of over 25 vasoactive substances within the plasma, and causes massive retention of fluid. In short, cardiopulmonary bypass makes patients sick.

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