Clinical cardiopulmonary bypass without systemic anticoagulation.

Dowling, R D; Brown, M E; Whittington, R O; Quinlan, J J; Armitage, J M · Ann Thorac Surg · 1993

case_report · Level V

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Abstract

Heparin-coated perfusion systems have been used to perform cardiopulmonary bypass with decreased systemic heparin dosages. We report the case of a 60-year-old man with end-stage liver disease and severe aortic stenosis who underwent an aortic valve replacement without systemic anticoagulation, employing a heparin-coated perfusion system. In patients with a contraindication to systemic anticoagulation, cardiopulmonary bypass with a heparin-coated system without systemic anticoagulation may be a viable alternative.

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