Cerebral perfusion through separate grafts for repair of acute aortic dissection with torn arch

Küçük Resim Yok

Tarih

2001

Dergi Başlığı

Dergi ISSN

Cilt Başlığı

Yayıncı

Texas Heart Inst

Erişim Hakkı

info:eu-repo/semantics/closedAccess

Özet

We have modified the technique of cerebral perfusion through anastomosed grafts for repair of acute arch dissections that require total arch replacement. We have performed this operation on a 71-year-old man with an acute type-A dissection and an arch tear between the orifices of the brachiocephalic arteries, We used 2 separate grafts for the brachiocephalic arteries and minimized brain Ischemia by initiating antegrade selective cerebral perfusion after the 1st anastomosis. The patient had an excellent outcome. This method is simple and provides effective protection. Cerebral ischemic time can be kept under 30 minutes without need of a sophisticated pump setup or a multibranched graft, This affords extra time in case the surgeon encounters an unexpected lesion in the arch.

Açıklama

Anahtar Kelimeler

aneurysm, dissecting/surgery, aorta, thoracic/transplantation, aortic diseases/surgery, brachiocephalic trunk, brain/blood supply, brain ischemia/prevention & control, cerebrovascular circulation, hypothermia, induced, perfusion/methods

Kaynak

Texas Heart Institute Journal

WoS Q Değeri

N/A

Scopus Q Değeri

Q3

Cilt

28

Sayı

4

Künye