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Thoracic aneurysmectomy utilizing direct left ventriculofemoral shunt (TDMAC-heparin) bypass.
Authors:G F Murray  W G Young
Institution:Division of Cardiothoracic Surgery, University of North Carolina School of Medicine, Chapel Hill, and the Division of Thoracic Surgery, Duke University Medical Center, Durham, NC
Abstract:Use of a temporary heparin-coated ventriculofemoral shunt in 2 patients in the successful management of traumatic aneurysms of the descending thoracic aorta is described. Safe and effective bypass protection can be achieved by direct ventriculofemoral diversion when cannulation of the left subclavian artery or ascending aorta is hazardous. The use of a heparinized shunt bypass without systemic anticoagulation considerably simplifies the operation.
Keywords:Address reprint requests to Dr  Murray  Division of Cardiothoracic Surgery  University of North Carolina School of Medicine  Box 7  Division of Health Affairs  Chapel Hill  NC 27514
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