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Vascular and Endovascular Surgery
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A New Application of Centrifugal Pump to Axilloiliac Temporary Bypass During Surgery of Thoracic Aortic Aneurysm—A Case Report

Mitsuo Shimada

Department of Surgery , Faculty of Medicine, Kyushu University, Fukuoka, Japan

Kenichiro Okadome

Department of Surgery , Faculty of Medicine, Kyushu University, Fukuoka, Japan

Kimihiro Komori

Department of Surgery , Faculty of Medicine, Kyushu University, Fukuoka, Japan

Hideya Takeuchi

Department of Surgery , Faculty of Medicine, Kyushu University, Fukuoka, Japan

Keizo Sugimachi

Department of Surgery , Faculty of Medicine, Kyushu University, Fukuoka, Japan

In order to avoid postoperative renal failure, liver failure, and paraplegia due to a suboptimal perfusion of the organs, the authors applied a centrifugal pump to a temporary axilloiliac bypass during surgery for a thoracic aortic aneurysm and successfully conducted the intraoperative and postoperative management of a patient with severe renal dysfunction and moderate liver dys function. With the use of a centrifugal pump in the axilloiliac bypass, not only was optimal perfusion of the intraabdominal organs and spinal cord obtained, but also left ventricular afterload was reduced. This type of centrifugal pump application can thus provide a better operative field without any bypass circuit in it and also help in preventing postoperative renal and hepatic failure and paraplegia.

Vascular and Endovascular Surgery, Vol. 27, No. 2, 140-146 (1993)
DOI: 10.1177/153857449302700212
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