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December 1960

Extracorporeal Circulation in Consecutive Open-Heart Surgery Patients: Successful Use Without Repriming

Author Affiliations

Oklahoma City
Dept. of Surgery, University of Oklahoma Medical Center.

Arch Surg. 1960;81(6):969-970. doi:10.1001/archsurg.1960.01300060115023

Introduction  Open heart surgery, using extracorporeal circulation, requires large numbers of blood donors, and obtaining these donors has been a limiting factor in some programs. One suggestion for alleviating this problem has been to increase the utilization of available donors by operating on 2 consecutive patients utilizing a single, initial blood priming volume in the pump.1 It is the purpose of this paper to report the successful perfusion of 2 patients with the same pump and priming blood on 3 separate occasions.

Report of Cases 

Case 1.  —A 10-year-old, 26 kg. girl with congenital aortic stenosis underwent open correction on January 20, 1960, using extracorporeal circulation. Bypass was utilized for 12 minutes with a perfusion rate of 3,740 cc. Surgical correction was successful.

Case 2.  —A 9-year-old, 11 kg. girl with congenital aortic stenosis and patent ductus arteriosus was the second patient done on January 20, 1960. One hour

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