Recovery from very long aortic cross-clamping in redo complex aortic surgery
| Autor: | Shoichi Suehiro, Megumi Ito, Koji Shimizu, Teiji Oda, Hayato Nakata, Kazuhiro Akeho |
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| Rok vydání: | 2017 |
| Předmět: |
Male
Pulmonary and Respiratory Medicine Aortic arch medicine.medical_specialty Time Factors Adhesion (medicine) Aorta Thoracic 030204 cardiovascular system & hematology law.invention 03 medical and health sciences 0302 clinical medicine Hypothermia Induced law Internal medicine medicine.artery Cardiopulmonary bypass medicine Humans Aged Aortic dissection Cardiopulmonary Bypass Aortic Aneurysm Thoracic business.industry General Medicine Hypothermia medicine.disease Surgery Cardiac surgery Aortic Dissection 030228 respiratory system Cardiothoracic surgery Heart failure cardiovascular system Cardiology medicine.symptom Tomography X-Ray Computed Cardiology and Cardiovascular Medicine business Vascular Surgical Procedures Follow-Up Studies |
| Zdroj: | General Thoracic and Cardiovascular Surgery. 66:361-364 |
| ISSN: | 1863-6713 1863-6705 |
| Popis: | A 68-year-old man had undergone ascending aortic replacement for acute type A aortic dissection. Three months later, he had a new aortic dissection with an ulcer-like projection located in the aortic arch with suspected graft infection. An emergent redo total aortic arch and root replacement was performed because of the coexistence of a fragile aortic root wall. The extensive redo procedure necessitated a very long aortic cross-clamping time (516 min). After 25 min of assisted circulation, he was easily weaned from the cardiopulmonary bypass. Finally, an omental flap was harvested to cover the graft. Postoperative ECG and CK-MB examinations showed no significant myocardial injury. He had no symptoms of heart failure and was discharged after a month of antibiotic therapy. One-year follow-up UCG study revealed no abnormal findings except for signs of pericardial adhesion. |
| Databáze: | OpenAIRE |
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