Improved right heart function with a compliant inflow artificial lung in series with the pulmonary circulation

Scott D. Lick, Joseph B. Zwischenberger, Dongfang Wang, Donald J. Deyo, Scott K. Alpard, Sean D. Chambers

Research output: Contribution to journalArticle

36 Citations (Scopus)

Abstract

Background. We previously reported a 50% incidence of immediate right heart failure using a rigidly housed, noncompliant inflow artificial lung in series with the pulmonary circulation in a healthy ovine survival model. Three device modifications resulted: (1) an inflow cannula compliance chamber, (2) an inlet blood flow separator, and (3) modification of the artificial lung outlet geometry, all to reduce resistance and mimic the compliance of the pulmonary vascular bed. Methods. In 7 sheep, arterial grafts were anastomosed end-to-side to the proximal and distal main pulmonary artery, with the paracorporeal artificial lung interposed. A pulmonary artery snare between anastomoses diverted full pulmonary blood flow through the artificial lung for up to 72 hours. Results. Six of 7 sheep exhibited good cardiac function throughout the test period: mean central venous pressure was 6.8 mm Hg (range, 4 to 11 mm Hg), mean cardiac output, 4.17 ± 0.12 L/min (range, 2.4 to 6.3 L/min); before and after device mean pulmonary arterial pressure, 21.8 and 18.5 mm Hg, and left atrial pressure, 10.8 mm Hg. Conclusions. This modified artificial lung prototype with an inflow compliance chamber, blood flow separator, and modified outlet geometry has greatly improved cardiac function and initial survival in our healthy ovine model.

Original languageEnglish (US)
Pages (from-to)899-904
Number of pages6
JournalAnnals of Thoracic Surgery
Volume72
Issue number3
DOIs
StatePublished - 2001
Externally publishedYes

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Pulmonary Circulation
Lung
Sheep
Pulmonary Artery
Heart Function Tests
Equipment and Supplies
Central Venous Pressure
Atrial Pressure
Cardiac Output
Compliance
Blood Vessels
Arterial Pressure
Heart Failure
Transplants
Incidence

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

Cite this

Improved right heart function with a compliant inflow artificial lung in series with the pulmonary circulation. / Lick, Scott D.; Zwischenberger, Joseph B.; Wang, Dongfang; Deyo, Donald J.; Alpard, Scott K.; Chambers, Sean D.

In: Annals of Thoracic Surgery, Vol. 72, No. 3, 2001, p. 899-904.

Research output: Contribution to journalArticle

Lick, Scott D. ; Zwischenberger, Joseph B. ; Wang, Dongfang ; Deyo, Donald J. ; Alpard, Scott K. ; Chambers, Sean D. / Improved right heart function with a compliant inflow artificial lung in series with the pulmonary circulation. In: Annals of Thoracic Surgery. 2001 ; Vol. 72, No. 3. pp. 899-904.
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