Hypothermic circulatory arrest in the treatment of thoracic aortic lesions
| Autor: | Paul Preissler, Henry Low, J. Thomas Crepps, Philip D. Allmendinger, Chester Humphrey, Lee H. Ellison |
|---|---|
| Rok vydání: | 1987 |
| Předmět: |
Pulmonary and Respiratory Medicine
Aortic arch Adult Male medicine.medical_specialty Arteriosclerosis Renal function Aorta Thoracic law.invention Aneurysm Postoperative Complications law Hypothermia Induced medicine.artery Ascending aorta medicine Cardiopulmonary bypass Thoracic aorta Humans Aorta Aged Cardiopulmonary Bypass business.industry Mycotic aneurysm Middle Aged medicine.disease Surgery Aortic Aneurysm Blood Vessel Prosthesis Aortic Dissection Anesthesia Circulatory system cardiovascular system Heart Arrest Induced Female Emergencies Cardiology and Cardiovascular Medicine business Aneurysm Infected |
| Zdroj: | The Annals of thoracic surgery. 43(6) |
| ISSN: | 0003-4975 |
| Popis: | The use of hypothermic circulatory arrest has been established in the treatment of aortic arch lesions. We recently used this method of arrest in the treatment of 10 consecutive patients with thoracic aortic lesions. Seven of these patients had dissecting aneurysms of the ascending aorta with extension into the aortic arch. One patient had a mycotic aneurysm of the arch, and 2 patients had arteriosclerotic aneurysms of the ascending aorta and entire aortic arch. All patients were supported and cooled with cardiopulmonary bypass. Circulatory arrest was maintained for periods of 21 to 63 minutes. All 10 patients survived the operative procedure. Nine patients remained intact neurologically. Renal function returned to baseline in all patients. Average blood replacement was 2.9 units. All patients have experienced an excellent surgical result. The average follow-up is 21.1 months. The technique facilitates a surgical approach to these lesions and appears to be the safest form of vital-organ preservation. |
| Databáze: | OpenAIRE |
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