An automatic cardiopulmonary bypass unit for use in infants

ABSTRACTS with left to right shunt >z:I. Patent ducfus nrferiosus: Ligation of all with heavy plaited silk. Aorficopulmonary sepfal defect: Operate when diagnosis established. Coarcfafion of aorta: Emergency at 24-48 hr or electively at 4-8 yr. Fallof’s fefrafogy: Severe cyanosis and hypoxia require shunt. Elective correction at 5-8 yr. Puknonary stenosis: Severe hypoxemia or electively at 2-6 yr. Transposition of great arteries: Rashkind balloon septostomy earlv with total correction at 6-14 mo. Tricuspid afresia: Progressive cyanosis with polycythemia or C.C.F. Pulmonary atresia with intact VS.: Emergency soon after birth on total correction when older. Congenital aortic stenosis: Heart failure in infancy. Clinical findings in older groups. Truncus arteriosus, double-outlet right oentricle, and vascular rings are briefly discussed-M. R. Lock An Automatic Cardiopulmonary Bypass Unit for Use in Infants. M. Turina, L. 6. Housman, M. Intaglietta, J. Schauble, and N. S. Braunwatd. J. Thorac. Cardiovasc. Surg. 63:263-268, 1972. A small pump oxygenator has been developed that uses a membrane oxygenator and has a priming volume of 350 cc. There are a number of automatic features to make its use safer in small infants. Its evaluation in puppies would indicate that it may be helpful in clinical use.-Thomas M. Holder Coronary Arterial Fistulas Terminating in the Coronary Venous System. J. A. Ogden and H, C. Stansel, Jr. J. Thorac. Cardiovast. Surg. 63:172-162, 1972. Seven cases of coronary arterial fistula to the coronary sinus are presented along with a review of the literature on the subject. There are 40 references.-Thomas M. Holder Surgical Correction of Transposition of the Great Vessels. A. Technical Suggestion. R. L. Rep/ogle and C-Y. Lin. J. Thorac. Cardiovasc. Surg. 63:196-198, 1972. A technique is presented for avoiding pulmonary venous obstruction after the Mustard procedure. The pulmonary venous atrium is enlarged by suturing a graft in the atria1 wall down to the right pulmonary veins.-Thomas M. Holder

625 The Mustard Operation as a Palliative Prbcedure. G. G. Llndesmith, 0. R. SW% B. L. Tucker, M. E. Gallaher, R. E. Stanton, end 8. W. Meyer. J. Thorac. Cardiovasc. Surg. 63:7!5-80, 1972. The use of the Mustard procedure to palliate some patients with transposition of the great vessels who are not candidates for total correction is presented. An example of a patient who is a candidate for a palliative Mustard procedure would be one with transposition of the great vessels, ventricular septal defect, and increased pulmonary vascular resistance. Six of eight patients palliated by the use of an interatrial baffle were symptomatically improved, in that their arterial desaturation was significantly improved.-Thomas M. HoIder Correction of Total Anomalous Pulmonary Venous Drainage in the First Month of Life. hf. J. Buckley, D. M. Behrendt, A. Goldblett, M. l3. Lever, and W. Q. Austen. J. Thorec. Cardiovasc. Surg. 63:269-274, 1972. Three patients less than a month of age operated upon in the Massachusetts General Hospital with total anomalous pulmonary venous drainage are presented. Two patients survived. Early operation using deep hypothermia with circulatory arrest is recommended for these infants. -Thomas M. Holder Mixed-type Total Anomalous Pulmonary Venous Drainage. Report of a Successful Surgical Correction and Review of the Literature. R. Klint, C. We/don, A. Hartmenn, Jr., N. Schad, A. Hernandez, end 0. Goldring. J. Thorec. Cardiovasc. Surg. 63:X4-170, 1972. This review covers 24 references. -Thomas M. Holder Reconstruction of the Right Ventricular Outlet with Fascia Lata Composite Graft. M. 1. lonescu, F. J. Mecartney. end (3. H. Wooler. J. Thorac. Cardiovasc. Surg. 63: 6cf-74,1972. Twenty-four patients with congenital heart disease requiring right ventricular outflow tract reconstruction have been treated