Cardiopulmonary bypass (CPB) is a technique which is commonly performed without any problem in cardiac surgery. CPB can also be used in patients with a tumoral mass adherent to the great vessels, in patients with critically narrowed airway, if cross-table intubation of the distal trachea is not feasible and in patients necessitating re-do surgery with extensive adhesions because it allows extensive mobilization of the heart and great vessels without compromising their function. It also allowed the central pulmonary artery to be controlled without comprising oxygenation and complete resection of a tumor localized in the A-P window. Herein we report such patients operated with CPB without any problem.

1.
Flickinger FW, Yuh WTC, Behrendt DM: Magnetic resonance imaging of mediastinal paraganglioma. Chest 1988;94:652–654.
2.
Lamy AL, Fradet GJ, Luoma A, Nelems B: Anterior and middle mediastinum paraganlioma. Complete resection is the treatment of choice. Ann Thorac Surg 1994;57.249–252.
3.
Kern JA, Milbrandt TA, Rolf S, Tribble CG: Resection of multiple mediastinal parangangliomas with cardiopulmonary bypass. Ann Thorac Surg 1997;64:1824–1826.
4.
Dunn GD, Brown MJ, Sapsford RN, Mansfield AO, Hemingway AP, Sever PS, Allison DJ: Functioning middle mediastinal paraganglioma (phaeochromocytoma) associated with intercarotid paragangliomas. Lancet 1986;i:1061–1064.
5.
Abad C, Jimenez P, Santana C, Coello I, Acosta A, Hernandez E, Feijoo JJ, Diaz J, Rodriguez-Perez A: Primary cardiac paraganglioma. J Cardiovasc Surg 1992;33:768–772.
6.
Herrera MF, Van Heerden JA, Puga FJ, Hogan MJ, Carney JA: Mediastinal paraganglioma: A surgical experience. Ann Thorac Surg 1993;56:1096–1100.
7.
Levine SN, McDonald JC: The evaluation and management of pheochromocytomas. Adv Surg 1984;17:281–313.
8.
Grillo HC: Management of non-neoplastic diseases of the trachea; in Shields TW (ed): General Thoracic Surgery. Baltimore. Williams & Wilkins, 1994, vol 1, pp 815–827.
9.
Perelman MI: Median sternotomy and parasternal approaches to the lower trachea and main stem bronchi; in Shields TW (ed): General Thoracic Surgery. Baltimore, Williams & Wilkins, 1994, vol I, pp 502–507.
Copyright / Drug Dosage / Disclaimer
Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.
You do not currently have access to this content.