Towards a More Physiologic Perfusion.
Minimally Invasive Extracorporeal Circulation (MiECC): Towards a More Physiologic Perfusion. Editorial article published at the Journal of Cardiothoracic and Vascular Anesthesia
SUBSANTIAL EFFORTS from various clinicians to convert closed-to-open cardiac surgery gave birth to the first heart-lung machine by John H. Gibbon in 1953. This breakthrough became a milestone in the history of cardiac surgery. Major achievements in this new era were based on the so-called “cardiopulmonary bypass (CPB) machine.”1 Important technologic advancements have been realized during the last 6 decades, thus rendering CPB the gold standard for the majority of cardiac surgical procedures. Throughout the years, improved perioperative and long-term results were achieved, despite the increasing prevalence of elderly and high-risk patients.
Kyriakos Anastasiadis, MD, FETCS / Polychronis Antonitsis, MD, DSc / Marco Ranucci, MD, FESC / John Murkin, MD, FRCPC