Presented in part at the ACVS Symposium, Seattle, WA, October 2010.
Challenges of Cardiopulmonary Bypass—A Review of the Veterinary Literature
Version of Record online: 19 NOV 2012
© Copyright 2012 by The American College of Veterinary Surgeons
Volume 42, Issue 2, pages 119–136, February 2013
How to Cite
Pelosi, A., Anderson, L. K., Paugh, J., Robinson, S. and Eyster, G. E. (2013), Challenges of Cardiopulmonary Bypass—A Review of the Veterinary Literature. Veterinary Surgery, 42: 119–136. doi: 10.1111/j.1532-950X.2012.01008.x
- Issue online: 6 FEB 2013
- Version of Record online: 19 NOV 2012
- Manuscript Accepted: AUG 2011
- Manuscript Received: FEB 2011
Cardiopulmonary bypass (CPB) has been used in veterinary medicine in experimental surgery and to address congenital and acquired diseases. We review the veterinary literature and expose common challenges of CPB in dogs and cats. Specifically, we describe the most specific elements of this technique in veterinary patients. The variety in animal size has made it difficult to standardize cannulation techniques, oxygenators, and priming volumes and solutions. The fact that one of the most common cardiovascular disorders, mitral valve disease, occurs predominantly in small dogs has limited the use of bypass in these patients because of the need for small, low prime oxygenators and pumps that have been unavailable until recently. Coagulation, hemostasis, and blood product availability have also represented important factors in the way CPB has developed over the years. The cost and the challenges in operating the bypass machine have represented substantial limitations in its broader use.