Thoracoabdominal aneurysm rupture: a modification of the visceral perfusion circuit
نویسندگان
چکیده
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. Aortic aneurysm, abdominal, surgery Perfusion. Infusion pumps. Resumo Paciente portador de aneurisma toracoabdominal (ATA) tipo lV, roto, submetido a tratamento cirúrgico utilizando perfusão visceral assistida por bomba centrífuga e oxigenador de membrana neonatal. Este circuito permite a perfusão visceral com sangue oxigenado, durante o período de isquemia, e infusão de volume rápido via venosa após a retirada da pinça. Descritores: Aneurisma da aorta torácica, cirurgia. Aneurisma da aorta abdominal, cirurgia. Perfusão. Bombas de infusão. Aneurisma toracoabdominal roto: modificação do circuito de perfusão visceral Thoracoabdominal aneurysm rupture: a modification of the visceral perfusion circuit
منابع مشابه
Novel Visceral-Anastomosis-First Approach in Open Repair of a Ruptured Type 2 Thoracoabdominal Aortic Aneurysm: Causes behind a Mortal Outcome
Case reports to analyze causes and possible prevention of complications in a new setting are important. We present an open repair of a ruptured type 2 thoracoabdominal aortic aneurysm in a 78-year-old man. Lower-body perfusion through a temporary extracorporeal axillobifemoral arterial prosthesis shunt was combined with the use of a branch to the permanent aortic prosthesis to enable rapid visc...
متن کاملSelective 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 ...
متن کاملPii: S0967-2109(02)00050-9
Background: Repair of thoracoabdominal aortic aneurysms (TAAAs) continues to be a challenging task. Hemorrhagic shock, cardiac arrest and multisystem organ failures are the most frequent causes of death, and paraplegia and renal failure are the most devastating complications. Methods: Flawless surgical technique and the use of adjuncts to protect key organs including the brain, heart, spinal co...
متن کاملThoracoabdominal aneurysm repair using a four-branched thoracoabdominal graft: a case series
Revascularization of the visceral arteries during thoracoabdominal aneurysm repair is usually performed sequentially by an anastomosis between a prosthetic graft and an aortic patch. There are immediate operative risks such as bleeding and distortion. In the longer term, aneurysm, pseudo-aneurysm and rupture may occur. These require reoperation and are associated with significant morbidity and ...
متن کاملIncidence, prevention, and management in spinal cord protection during TEVAR.
Until recently, patients with aneurysms of the thoracic and thoracoabdominal aorta had only one treatment option: open surgical repair. For those patients who could not tolerate an operation because of medical comorbidities, continued aneurysm enlargement and eventual rupture was a constant, yet unpredictable threat to their lives. Several studies have documented improved survival rates in thos...
متن کامل