Selective visceral and renal perfusion in thoracoabdominal aneurysm repair1

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Selective visceral and renal perfusion in thoracoabdominal aneurysm repair.

OBJECTIVE Whether or not selective visceral and renal perfusion during thoracoabdominal aortic aneurysm (TAAA) repair has a protective effect on visceral and renal function remains unknown. The aim of this study was to clarify if selective perfusion has such an effect. METHODS From May 1982 to December 1997, 82 consecutive patients underwent TAAA repair. Patients receiving hypothermic circula...

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Selective visceral perfusion during thoracoabdominal aortic aneurysm repair.

PURPOSE To evaluate the effectiveness of selective visceral perfusion during repair of an thoracoabdominal aortic aneurysm (TAAA), we compared the postoperative renal and hepatic functions (blood urea nitrogen, serum creatinine, total bilirubin, glutamate pyruvate transaminase) between the two groups with and without perfusion. PATIENTS AND METHODS We operated on 52 patients with TAAA. Among ...

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Thoracoabdominal aneurysm rupture: a modification of the visceral perfusion circuit

A patient with ruptured type IV thoracoabdominal aortic aneurysm (TAAA), underwent surgical treatment utilizing visceral perfusion assisted by a centrifugal pump and neonatal membrane oxygenator. This circuit allows visceral perfusion with oxygenated blood during the ischemic period and the fast infusion of intravenous volume after clamp removal. Descriptors: Aortic aneurysm, thoracic, surgery....

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Assessment of hepatosplanchnic pathophysiology during thoracoabdominal aortic aneurysm repair using visceral perfusion and shunt.

OBJECTIVE Despite the recognition of importance to avoid visceral ischemia during thoracoabdominal aortic aneurysm (TAAA) repair, the methodology of visceral perfusion seems still controversial and its pathophysiology has not been clearly understood. We investigated hepatosplanchnic metabolism during visceral perfusion/shunt in TAAA repair. METHODS Seventeen patients (10 male, 64+/-15 years o...

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Dysphagia and thoracoabdominal aneurysm.

Two elderly patients who presented with gradually progressive dysphagia are described. Investigations excluded an intraluminal obstruction and showed extrinsic compression of the oesophagus by an aneurysmal aorta. Surgery was not performed and they were successfully managed with a liquid diet.

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ژورنال

عنوان ژورنال: European Journal of Cardio-Thoracic Surgery

سال: 1999

ISSN: 1873-734X,1010-7940

DOI: 10.1016/s1010-7940(99)00075-5