Document Detail

Balloon occlusion of the ascending aorta without hypothermic circulatory arrest in valve surgery for patients with a porcelain aorta.
MedLine Citation:
PMID:  20719729     Owner:  NLM     Status:  MEDLINE    
Severe calcification of the ascending aorta and the aortic arch complicates cardiac surgery. The optimal approach in such patients is unknown. Four valve surgeries were performed with balloon occlusion without hypothermic circulatory arrest. All patients had femoral arterial cannulation, and all 3 patients who required an aortotomy had right axillary artery cannulation as well. A balloon catheter was inserted just proximal to the brachiocephalic artery via a purse-string stitch. Good cardiac arrest was obtained in all cases, and a good bloodless field was obtained in all 3 aortic valve cases. There were no balloon-related complications. The patients all showed good postoperative courses. Balloon occlusion of the ascending aorta without circulatory arrest is effective for performing a rapid and less invasive surgery that is not significantly different from the usual valve surgery.
Tomonobu Abe; Toshiaki Ito; Masatoshi Sunada; Tomo Yoshizumi; Akemi Kawamura; Koji Yamana
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The heart surgery forum     Volume:  13     ISSN:  1522-6662     ISO Abbreviation:  Heart Surg Forum     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-08-19     Completed Date:  2011-01-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100891112     Medline TA:  Heart Surg Forum     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E251-3     Citation Subset:  IM    
Department of Cardiovascular Surgery, Social Insurance Chukyo Hospital, Nagoya, Japan.
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MeSH Terms
Aged, 80 and over
Aortic Diseases / radiography,  therapy*
Aortic Valve / surgery
Balloon Occlusion* / adverse effects
Brachiocephalic Trunk
Calcinosis / radiography,  therapy*
Cardiopulmonary Bypass
Heart Arrest, Induced
Hypothermia, Induced
Middle Aged
Suture Techniques
Tomography, X-Ray Computed
Treatment Outcome
Vascular Surgical Procedures* / adverse effects

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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