Aortic arch repair using hypothermic circulatory arrest technique associated with pharmacological brain protection
نویسندگان
چکیده
منابع مشابه
Repair of a penetrating aortic arch injury using deep hypothermic circulatory arrest and retrograde cerebral perfusion.
The traumatic rupture of the thoracic aorta is a severe and life-threatening entity. The incidence of penetrating trauma to the aortic arch is not known, because most patients die of haemorrhage even before they receive adequate treatment. Clinical signs of such injuries include external or internal haemorrhage, bruit, distal pulse deficit, neurological deficit and shock. We present a 42-year o...
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 کاملCannulation strategy for aortic arch reconstruction using deep hypothermic circulatory arrest.
BACKGROUND Aortic arch reconstruction in neonates is commonly performed using deep hypothermic circulatory arrest. However, concerns have arisen regarding potential adverse neurologic outcomes from this complex procedure, raising questions about the best arterial cannulation approach for cerebral perfusion and effective systemic hypothermia. In this study, we use computational fluid dynamics to...
متن کاملRetrograde cerebral perfusion with hypothermic circulatory arrest in aortic arch surgery: operative and long-term results.
METHODS Clinical data were retrospectively collected for 207 consecutive patients who underwent aortic arch surgery using continuous retrograde cerebral perfusion (CRCP) and hypothermic circulatory arrest (HCA) at Tenri Hospital (138 patients) from 1988 to 1999, and at Nagoya University Hospital (69 patients) from 1990 to 2000. One hundred and 3 patients (50%) were operated upon for aortic diss...
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ژورنال
عنوان ژورنال: European Journal of Cardio-Thoracic Surgery
سال: 2000
ISSN: 1873-734X,1010-7940
DOI: 10.1016/s1010-7940(00)00533-9