Neurologic Deficit After Aortic Arch Replacement: The Influence of the Aortic Atherosclerosis
نویسندگان
چکیده
منابع مشابه
Total arch replacement for distal enlargement after ascending aortic replacement for acute type A aortic dissection.
OBJECTIVE Distal reoperations for aortic dissection are associated with high morbidity rates. We describe distal aortic enlargement that was treated using our surgical strategy. PATIENTS AND METHODS From January 1997 to April 2008, 63 patients underwent ascending aortic replacement for acute type A aortic dissection. Four patients (7.4%; 3 males, 1 female; mean age, 67.8 +/- 4.6 years) requir...
متن کاملDelayed neurologic deficit after endovascular abdominal aortic aneurysm repair.
Paraplegia or paraparesis secondary to spinal cord ischemia is an extremely rare complication after elective repair of abdominal aortic aneurysm. We report delayed paraparesis after endovascular abdominal aortic aneurysm repair in which one hypogastric artery was unintentionally occluded due to atheroembolism. A spinal catheter was immediately inserted after onset of paraplegia to promote cereb...
متن کاملEndovascular aortic arch repair after aortic arch de-branching.
PURPOSE Conventional surgical therapy of aortic arch aneurysms consists of aortic arch replacement requiring cardiopulmonary bypass and deep hypothermic circulatory arrest. This method is associated with significant morbidity and mortality, mainly due to neurologic complications and the sequelae of deep hypothermic circulatory arrest. Thus, it makes sense to work on developing less invasive sur...
متن کاملTotal endograft replacement of aortic arch.
Total endovascular replacement of the aortic arch is a complex procedure that is often favoured when the pathology anatomy precludes a standard median sternotomy. Here we present the case of endograft repair in a 79 year old male with 6.5 cm arch aneurysm and 5.4 cm descending thoracoabdominal aneurysm. Following bilateral carotid-subclavian bypasses, a long 7 Fr sheath was advanced into the de...
متن کاملAortic arch replacement with proximal first technique.
BACKGROUND Deep hypothermic circulatory arrest (DHCA) without retrograde cerebral perfusion (RCP) has a strict time limit. We modified a surgical technique for anastomosis to shorten the period of DHCA and unilateral cerebral perfusion (UCP). METHODS Between March 1993 and August 2001, retrospective analysis was done on 23 consecutive patients, who underwent aortic arch replacement with branc...
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ژورنال
عنوان ژورنال: The Annals of Thoracic Surgery
سال: 2019
ISSN: 0003-4975
DOI: 10.1016/j.athoracsur.2019.01.004