Abstract
This study is comparing in adult coronary patients the clinical and biological criteria between two types of extra corporeal circulation (ECC) practiced (open and closed venous reservoirs system) and the coronary surgery on beating heart. Cell saving device of cardiotomy suction blood and reduction of air/blood interface during ECC obtained in closed circuit technique must reduce the phenomenon accompanying per operative inflammatory reaction induced by ECC. The conventional open circuit ECC (rigid venous reservoir) is the most deleterious technique according to clinical and biological criteria. For these patients, the stagnant mediastinal blood is mixed with venous return. Coronary surgery using closed circuit ECC gives the same advantages of the surgery on beating heart principally as regard postoperative bleeding and reduction of hemodilution.
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