1 Norwood Surgery Management of Cardiopulmonary Bypass.docVIP

 PAGE \* MERGEFORMAT 11 1 Norwood Surgery Management of Cardiopulmonary Bypass Author: Zhou Chengbin, Chen Ping, Ke Jun, Zhang Xiaohua, Chen send plum, Shin-Shin Chen, Zhuang Jian [Abstract] Objective 1 Norwood surgery cardiopulmonary bypass. Methods from July 2004 to June 2008, five cases of children with diagnosis of hypoplastic left heart syndrome, the average age (2.3 ± 2.8) months, the average weight (4.2 ± 0.9) kg. Deep hypothermic circulatory arrest were carried out under a Norwood operation, circulatory arrest period, 3 cases with antegrade brain perfusion, flow rate 10 ~ 15 ml / kg. Ultrafiltration and modified ultrafiltration using conventional techniques. Results The mean cardiopulmonary bypass time (222 ± 104) min, mean aortic clamp time (110 ± 35) min, mean circulatory arrest time (53 ± 25) min, the lowest rectal temperature (19.2 ± 1.2) ℃ . Shutdown when the hematocrit is (0.37 ± 0.02). 2 patients died, 1 postoperative low cardiac output, capillary leak syndrome. The other one cases of preoperative lactate values greater than 15 mmol / L, can not be divorced from cardiopulmonary bypass. Conclusion deep hypothermic circulatory arrest for a Norwood operation, antegrade brain perfusion is conducive to extend the stop cycle time, higher hematocrit right Postoperative oxygen benefit the organization. [Keywords:] hypoplastic left heart syndrome; Norwood operation; deep hypothermic circulatory arrest; pump Abstract: OBJECTIVE To summarize the cardiopulmonary bypass managements in the first stage of Norwood procedure for hypoplastic left heart syndrome.METHODS Five patients with hypoplastic left heart syndrome underwent first stage of Norwood procedure under deep hypothermic circulation arrest between July 2004 and June 2008. The mean operative age was (2.3 ± 2.8) months and mean body weight was (4.2 ± 0.9) kg. Antegrade cerebral perfusion was performed at 10-15 ml / kg in three cases during deep hypothermic circulation arrest. Conventional a