Hypothermic circulatory arrest for aortic dissection with cryoglobulinemia
نویسندگان
چکیده
منابع مشابه
Does profound hypothermic circulatory arrest improve survival in patients with acute type a aortic dissection?
OBJECTIVE No evidence exists that profound hypothermic circulatory arrest (PHCA) improves survival or reduces the likelihood of distal aortic reoperation in patients with acute type A aortic dissection. METHODS Records of 307 patients with acute type A aortic dissection from 1967 to 1999 were retrospectively reviewed. The influence of repair using PHCA (n=121) versus without PHCA (n=186) on d...
متن کاملDeep hypothermic circulatory arrest.
Effective cerebral protection remains the principle concern during aortic arch surgery. Hypothermic circulatory arrest (HCA) is entrenched as the primary neuroprotection mechanism since the 70s, as it slows injury-inducing pathways by limiting cerebral metabolism. However, increases in HCA duration has been associated with poorer neurological outcomes, necessitating the adjunctive use of antegr...
متن کاملOptimal pH strategy for hypothermic circulatory arrest.
surgery. Microembolization of atherosclerotic debris, fat, and air was probably the cause. It followed that if cerebral blood flow was increased to excessive, " luxuriant " levels by adding carbon dioxide, then injury would be increased. Randomized trials of neuropsycho-metric outcome have confirmed just this. Three of four trials demonstrated an improved cognitive outcome in adults undergoing ...
متن کاملDeep Hypothermic Circulatory Arrest with Lung Perfusion/Ventilation in a Patient with Acute Type A Aortic Dissection
A 50-year-old black male presented with acute type A aortic dissection. Surgical repair was performed under deep hypothermic circulatory arrest (DHCA) with lung perfusion/ventilation throughout the procedure. Details of the lung perfusion technique and its potential benefits and drawbacks are discussed.
متن کاملSelective 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...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ژورنال
عنوان ژورنال: Journal of Cardiac Surgery
سال: 2020
ISSN: 0886-0440,1540-8191
DOI: 10.1111/jocs.14908