Central Cannulation, Moderately Hypothermic Cardiopulmonary Bypass, Selective Cerebral Perfusion and Antero-Axillary Thoracotomy for Distal Aortic Arch Aneurysm.
نویسندگان
چکیده
منابع مشابه
Selective cerebral perfusion with aortic cannulation and short-term hypothermic circulatory arrest in aortic arch reconstruction.
BACKGROUND The deep hypothermic circulatory arrest (DHCA) technique has been used in aortic arch and isthmus hypoplasia for many years. However, with the demonstration of the deleterious effects of prolonged DHCA, selective cerebral perfusion (SCP) has started to be used in aortic arch repair. For SCP, perfusion via the innominate artery route is generally preferred (either direct innominate ar...
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Total aortic arch replacement remains a complex surgical procedure, best practiced in high-volume aortic centers. The following report details the surgical procedure for total arch replacement with selective antegrade cerebral perfusion (SACP) for distal arch aneurysm. Following moderate hypothermic circulatory arrest and SACP, the distal arch, and then the proximal arch, is reconstructed, foll...
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The objective of this study is to quantify the detailed three-dimensional (3D) pulsatile hemodynamics, mechanical loading, and perfusion characteristics of a patient-specific neonatal aortic arch during cardiopulmonary bypass (CPB). The 3D cardiac magnetic resonance imaging (MRI) reconstruction of a pediatric patient with a normal aortic arch is modified based on clinical literature to represen...
متن کاملRuptured aortic arch aneurysm: transposition of aortic arch branches after insertion of thoracic endovascular stent with extra-anatomic brain perfusion.
Conventional surgical treatment of a ruptured aortic arch aneurysm is a challenging approach with a high rate of adverse outcomes. The midsternotomy can be complicated by total aortic disruption with often fatal massive hemorrhage. A preliminary cardiopulmonary bypass with peripheral cannulation and cooling is often preferred. Endovascular stents have been used in patients with thoraco-abdomina...
متن کاملTotal arch replacement using bilateral axillary antegrade selective cerebral perfusion.
OBJECTIVE The prevention of cerebral injury is an important consideration during the repair of an aortic arch aneurysm, and this is a major goal of cerebral protection techniques. We describe extended thoracic aortic aneurysms treated by use of our current surgical strategy. PATIENTS AND METHODS From January 2001 to June 2008, a total of 17 patients (12 men and 5 women; mean age 67.3 ± 7.3 yr...
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ژورنال
عنوان ژورنال: Japanese Journal of Cardiovascular Surgery
سال: 2003
ISSN: 1883-4108,0285-1474
DOI: 10.4326/jjcvs.32.28