Features of cardiopulmonary bypass in cardiac surgery for a child weighing 1.8 kg: a clinical case
https://doi.org/10.23946/2500-0764-2025-10-2-105-110
Abstract
Aim. To demonstrate the feasibility and safety of performing cardiac surgery under cardiopulmonary bypass (CPB) in a child weighing 1.8 kg. Materials and Methods. We present a case of cardiovascular surgery under CPB in an infant with a body weight of 1.8 kg. Results. The major challenges associated with anesthetic management and CPB procedures are described, along with the strategies employed to overcome them in order to enable successful cardiac surgery. Laboratory and instrumental diagnostic indicators and vital parameters of perioperative monitoring are presented to demonstrate the safety of the procedures performed in this patient. Conclusion. Advances in current cardiovascular surgery and cardiac anesthesiology enable the performance of CPB-assisted operations in premature infants with low body weight. This article outlines the specific features of conducting cardiac surgery in a patient weighing 1.8 kg and provides evidence of its safety
About the Authors
P. V. Zinchuk
Research Institute for Complex Issues of Cardiovascular Diseases
Russian Federation
Russian Federation
Dr. Polina V. Zinchuk, MD, Junior Researcher, Laboratory of Organ Protection in Children with Congenital Heart Defects, Department of Cardiovascular Surgery
Barbarash Boulevard, 6, Kemerovo, 650002
D. G. Balakhnin
Moscow Regional Research and Clinical Institute (MONIKI)
Russian Federation
Russian Federation
Dr. Dmitry G. Balakhnin, MD, Anesthesiologist and Emergency Physician, Anesthesiology and Intensive Care Department
Shchepkina Street, 61/2, Moscow, 129110
A. A. Ivkin
Research Institute for Complex Issues of Cardiovascular Diseases
Russian Federation
Russian Federation
Dr. Artem A. Ivkin, MD, Cand. Sci. (Medicine), Head of the Laboratory of Organ Protection in Children with Congenital Heart Defects, Department of Cardiovascular Surgery
Barbarash Boulevard, 6, Kemerovo, 650002
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Review
For citations:
Zinchuk P.V., Balakhnin D.G., Ivkin A.A. Features of cardiopulmonary bypass in cardiac surgery for a child weighing 1.8 kg: a clinical case. Fundamental and Clinical Medicine. 2025;10(2):105-110. (In Russ.) https://doi.org/10.23946/2500-0764-2025-10-2-105-110
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