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cardiotomy
Indications:
- cardiac surgery & cardiopulmonary bypass
- CABG for coronary artery disease
- congenital heart disease
Procedure:
- incision in heart wall
- during cardiac surgery & cardiopulmonary bypass, it is necessary to aspirate variable but often large amounts of blood from the cardiac chambers & surgical field to prevent distension of cardiac chambers & air embolization & provide adequate exposure of the surgical field
- it is not practical to discard the blood, & most of it is returned to the extracorporeal circuit via the cardiotomy reservoir
- the cardiotomy reservoir receives blood that has been aspirated from the heart or pericardium or out of various vents
General
cardiac surgery (heart surgery)
References
- Stedman's Medical Dictionary 27th ed, Williams &
Wilkins, Baltimore, 1999
- Cardiopulmonary Bypass: Principles and Practice
CHAPTER 6: CARDIOTOMY SUCTION AND VENTING
http://www.wildcatanesthesia.com/Lippincott%20Interactive%20CD/text/gr/gr006.htm