Risk factors and outcomes of prolonged cardiopulmonary bypass time in surgery for adult congenital heart disease: a single-center study from a low-middle-income country

Total Aortic Arch Debranching with Antegrade Thoracic Endovascular Aortic Repair (TEVAR) in Acute Aortic Arch Dissection

“…The hybrid approach allowed for shorter CPB bypass time (187 minutes) versus average CPB for total aortic arch replacement of 241 minutes 6 . A shorter CPB is associated with longer duration of ventilation, longer CVICU stay, and longer overall hospital stay 7 . Additionally, given this hybrid approach, the patient did not require total aortic cross clamp or circulatory arrest.…”

Early Outcomes of Minimally Invasive Right Anterior Thoracotomy vs. Median Full Sternotomy in Isolated Aortic Valve Replacement: A Propensity Score Analysis

“…RAT-MIAVR often requires a longer period for the body to regain its normal temperature after ACC, due to the use of peripheral cannulation to facilitate CPB. Prolonged CPB time during AVR could lead to challenging complications [ 11 , 12 ] . Although prolonged CPB, ACC, and total operative time were significant in our RATMIAVR group, we still did not observe any significant prolongation in mechanical ventilation, intensive care unit time, and total hospitalization time between the two groups.…”

Redo aortic surgery: Does one versus multiple affect outcomes?

“…Previous data have demonstrated that CPB time is associated with worsening morbidity and mortality and poor clinical outcome. 13 , 14 Preemptive peripheral cannulation certainly cannot prevent critical cardiac injury during sternal reentry. 14 As a result, only patients with complex and extremely high-risk anatomy and expected injury should be cannulated preemptively.…”