체외순환중 발생한 대량 공기전색에 대한 상공대정맥을 통한 일시적역관류 -치험 2예-

Massive air embolism during cardiopulmonary bypass is uncommon but serious and often lethal complication. Following this catastrophic event, the immediate institution of retrograde arterial blood perfusion via superior vena cava was made to remove air emboli from cerebral circulation. This method was performed by removing the arterial perfusion line from aortic cannula and connecting it to superior vena caval cannula. Then, retrograde perfusion at a flow rate of 2Umin via superior vena cava was carried out for 3 minutes. After air returning from the aortic cannula was identified, each line was connected to the cannulae primarily. In 2 cases who had massive air emboli due to air pumping into arterial line, the postoperative complete recovery resulted from this technique, which was used in conjunction with other therapy postoperatively.