Open aortic arch surgery: the gold standard method
نویسندگان
چکیده
منابع مشابه
Open aortic arch reconstruction.
Aortic arch reconstruction remains a formidable operative procedure. Pioneering work by DeBakey et al. in 1957 identified neurological complications as a predominant cause of high mortality rate (1). The introduction of deep hypothermic circulatory arrest (HCA) by Griepp et al. simplified the operative approach and established a safe strategy for neuroprotection (2). Seminal work by Crawford an...
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Open repair of aneurysms and dissections involving the aortic arch has traditionally been associated with high rates of morbidity and mortality, primarily because of the complications related to the need to interrupt normal blood flow to the cerebral circulation. Over the past several years, our approach to these operations has gradually changed largely through the introduction of various techn...
متن کاملCerbral Protection Strategies for Aortic Arch Surgery
Surgical therapy for aortic arch disease involves partial or complete replacement of the aortic arch with reimplantation of the great vessels while the cerebral blood flow is temporarily altered. Patients undergoing this mandatory period of circulatory arrest during arch replacement are at an increased risk for adverse neurologic outcomes, and strategies for cerebral protection must be implemen...
متن کاملCortical blindness following aortic arch surgery.
PURPOSE To report a patient with Marfan's syndrome in whom cortical blindness occurred after planned circulatory arrest during aortic arch surgery. CASE A 31-year-old man underwent aortic arch surgery because of an acute aortic dissection due to Marfan's syndrome. He noticed poor vision after surgery, although his pupillary reflexes and fundi appeared normal. Magnetic resonance imaging (MRI) ...
متن کاملAortic arch surgery: beyond surgical technique alone.
Yan et al. [1] need to be congratulated on forming an international aortic arch study group to improve patient outcomes after aortic arch surgery. Clinical consensus to classify the different temperatures utilized for hypothermia is obviously important; however, it does not take into account metabolic variation between patients [2] and may potentially explain variation in reported outcomes. Wit...
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ژورنال
عنوان ژورنال: Indian Journal of Thoracic and Cardiovascular Surgery
سال: 2018
ISSN: 0970-9134,0973-7723
DOI: 10.1007/s12055-018-0732-1