Journal of Health Sciences and Medicine

Yazarlar: Mehmet KABALCI

Konular:Sağlık Bilimleri ve Hizmetleri

DOI:10.32322/jhsm.558916

Anahtar Kelimeler:Oxygenator,On-pump heart surgery,Acute myocardial infarction,Ventricular fibrillation

Özet: Aim: In this experimental study using sheep, it has been investigated whether the hypothesis that the pulmonary system can be used instead of the oxygenator is technically possible in routine open heart surgery method. Material and Method: In this study, 5 female Ankara sheep were used. The main difference was that the venous cannulation was made to the left atrium instead of the right atrium and the oxygenator was removed from the system. Ventricular fibrillation was performed in 2 subjects for cardiac arrest and cross clamp-potassium cardioplegia was used in 2 subjects. Hemodynamic parameters such as flow rates, blood pressure, arterial blood gas values ​​were recorded during 30 minutes of cardiac arrest. The first subject died in the pump stage due to the wrong application of the technique. The life of the other animals was terminated after the test results were obtained. Results: In this in vivo study, which was conducted in the form of a fully hydrodynamic test, it has seen at least possible for this test. With a strict follow-up of hemodynamic parameters and provide central venous pressure as 18mmHg, the right atrial blood could spontaneously pass into the left atrium without the need for an additional pump. The amount of blood passed was stable over the target cardiac index for 30 min. Another result of the study gave rise to a thought that, in case such as heart attack,  cardiac and systemic circulation and perfusion may be provided by a pump system which will be placed percutaneously between the left atrial and aorta when the heartbeat is ended due to VF or the electrical conduction fails.

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