Partial brachiocephalic perfusion in aortic arch replacement
| Autor: | Kenichi Kosuga, Shigemitsu Suzuki, Masahiro Momosaki, Hidetoshi Akashi, Shigeaki Aoyagi, Atsushige Oryoji, Kiroku Oishi, Yoshitake Kubota |
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| Rok vydání: | 1993 |
| Předmět: |
Adult
Male Aortic arch medicine.medical_specialty Blood Pressure law.invention Aortic aneurysm Oxygen Consumption Postoperative Complications Hypothermia Induced law medicine.artery Internal medicine Ascending aorta Cardiopulmonary bypass Humans Medicine Brachiocephalic Trunk Aged Aortic dissection Cardiopulmonary Bypass Aortic Aneurysm Thoracic business.industry General Medicine Middle Aged medicine.disease Temporal Arteries Surgery Perfusion medicine.anatomical_structure Cardiothoracic surgery Cerebrovascular Circulation cardiovascular system Cardiology Female Jugular Veins business Blood Flow Velocity Artery |
| Zdroj: | Surgery Today. 23:331-337 |
| ISSN: | 1436-2813 0941-1291 |
| DOI: | 10.1007/bf00309051 |
| Popis: | Eleven patients who underwent replacement of the aortic arch or adjacent areas for aneurysmal disease between 1989 and 1991, using hypothermic cardiopulmonary bypass at 20 degrees to 23 degrees C with partial brachiocephalic perfusion, were studied. Selective perfusion of the innominate artery was performed in all 11 patients through the right axillary artery, while partial brachiocephalic perfusion was carried out using a separate arterial roller pump with a perfusion flow rate of 10 ml/kg per min. Direct cannulation to the left common carotid and left subclavian artery was not performed in this method. There were 4 men and 7 women who ranged in age from 26 to 78 years, with a mean age of 56 years. The etiology of aneurysmal disease was aortic dissection in 10 patients, and aortitis syndrome in 1. The cardiopulmonary bypass time was 214.3 +/- 39.3 min, aortic cross-clamp time 131.5 +/- 33.4 min, and partial brachiocephalic perfusion time 57.6 +/- 15.1 min. There were three operative deaths (27.3%), the causes being multiple organ failure, acute peritonitis, and infection of the composite graft in the ascending aorta, in one patient each, respectively. However, there were no deaths related to the technique of partial brachiocephalic perfusion and no neurological complications were seen in this series. Thus, we believe that partial brachiocephalic perfusion under hypothermic cardiopulmonary bypass is safe and effective in surgery for aortic aneurysms involving the aortic arch. |
| Databáze: | OpenAIRE |
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