ABSTRACT
Controlled cross circulation (CCC) was performed in six pairs of dogs for 45 minutes with aortic cross clamping and cardioplegia. Data were collected in donor dogs at 10 minute intervals three times before, three times during, and three times after CCC and included arterial blood pressure, pulmonary capillary wedge pressure (PCWP), central venous pressure (CVP), cardiac index (CI), heart rate (HR), blood gas analysis, temperature, maximum rate of rise of left ventricular pressure dP/dt max/End diastolic volume (EDV), blood volume (BV), complete blood count (CBC) and activated clotting times (ACT). Pulse pressure (PP), systemic vascular resistance (SVR), oxygen delivery (DO2), and left ventricular cardiac work (LVCW) were calculated. Arterial blood pressure, CVP, blood gas analysis, temperature, BV, CBC, and ACT were measured in recipient dogs. During CCC, donor hemodynamic changes resembled those observed in models of acute onset arteriovenous fistulas. Insidious BV shifts can occur despite the use of occlusive roller pumps. After CCC, donor hemodynamics resembled acute blood loss, characterized by decreases in mean arterial pressure (MAP), CVP, PCWP, and CI, and increases in SVR and dP/dt max/EDV. These changes were probably caused by pump imbalance and BV shift to the recipient dog.
Subject(s)
Cross Circulation/veterinary , Dogs/physiology , Hemodynamics/physiology , Animals , Blood Volume/veterinary , Cardiopulmonary Bypass/methods , Cardiopulmonary Bypass/veterinary , Cross Circulation/adverse effects , Dogs/surgery , Fluid ShiftsABSTRACT
A haemodynamically significant ventricular septal defect was diagnosed in a 3-month-old male Cavalier King Charles Spaniel. A median sternotomy was performed and the 6.5 kg dog placed on cardiopulmonary bypass using pump-assisted cross-circulation. A 10 mm diameter peri-membranous ventricular septal defect was closed using a continuous suture of 4-0 polypropylene, via a 2.5 cm incision in the right ventricular outflow tract. The duration of cardiopulmonary bypass was 90 minutes. Complications in the immediate postoperative period were mild and easily managed.
Subject(s)
Cardiopulmonary Bypass/veterinary , Cross Circulation/veterinary , Dogs/abnormalities , Heart Septal Defects, Ventricular/veterinary , Animals , Cardiopulmonary Bypass/methods , Cross Circulation/methods , Dogs/surgery , Echocardiography/veterinary , Heart/physiopathology , Heart Septal Defects, Ventricular/diagnostic imaging , Heart Septal Defects, Ventricular/physiopathology , Heart Septal Defects, Ventricular/surgery , Hemodynamics/physiology , Male , Postoperative Complications/veterinaryABSTRACT
Cardiopulmonary bypass using cross-circulation was evaluated in dogs. In eight experiments a greyhound (the donor) was used to perfuse a small mongrel dog (the recipient). Recipients averaged 40 per cent of the donor's weight. Total cardiopulmonary bypass was successfully established in all eight experiments and maintained for 60 to 90 minutes. Haemodynamic values (mean arterial pressure, central venous pressure, cardiac output) and arterial blood gas tensions in the recipient and donor dogs remained at near-baseline levels for the duration of cardiopulmonary bypass. Seven of the eight recipient dogs were successfully weaned from cardiopulmonary bypass at the end of the procedure.
