Document Detail


Bilateral pulmonary endarterectomy and Bentall procedure completed in one surgical session.
MedLine Citation:
PMID:  23109784     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We describe the performance, in one surgical session, of bilateral pulmonary endarterectomy and a button-technique Bentall operation in a 68-year-old man. The patient had chronic thromboembolic pulmonary hypertension and an ascending aortic aneurysm with moderate aortic regurgitation. The procedures were concurrently completed during short periods of systemic circulatory arrest, with antegrade cerebral perfusion maintained through the brachiocephalic artery at a flow rate of 10 mL/min/kg. The patient's cerebral perfusion was monitored with use of near-infrared spectroscopy, to prevent symmetric bilateral values from falling below 20% of the base value. The patient experienced no multiorgan failure or neurologic sequelae and, by the 6th postoperative day, improved from New York Heart Association functional class IV to class I.The reliable maintenance of continuous antegrade cerebral perfusion made the lengthy combined operation feasible, with low risk. The use of near-infrared spectroscopy enabled real-time monitoring of the patient's cerebral blood flow. Our experience shows the possibility of safely performing lengthy or multiple procedures in one surgical session.
Authors:
Davide Ricci; Corrado Cavozza; Peppino Scoti; Domenico Mercogliano; Gaetano Minzioni; Dante Medici
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Texas Heart Institute journal / from the Texas Heart Institute of St. Luke's Episcopal Hospital, Texas Children's Hospital     Volume:  39     ISSN:  1526-6702     ISO Abbreviation:  Tex Heart Inst J     Publication Date:  2012  
Date Detail:
Created Date:  2012-10-30     Completed Date:  2013-04-10     Revised Date:  2013-07-11    
Medline Journal Info:
Nlm Unique ID:  8214622     Medline TA:  Tex Heart Inst J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  744-6     Citation Subset:  IM    
Affiliation:
Division of Cardiac Surgery, San Giovanni Battista Hospital Molinette, University of Torino, 10126 Torino, Italy. dricci@molinette.piemonte.it
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MeSH Terms
Descriptor/Qualifier:
Aged
Aortic Aneurysm / complications,  diagnosis,  physiopathology,  surgery*
Aortic Valve Insufficiency / complications,  diagnosis,  physiopathology,  surgery*
Blood Vessel Prosthesis Implantation*
Cardiopulmonary Bypass
Cerebrovascular Circulation
Endarterectomy*
Heart Arrest, Induced
Heart Valve Prosthesis Implantation*
Humans
Hypertension, Pulmonary / complications,  diagnosis,  physiopathology,  surgery*
Hypothermia, Induced
Male
Monitoring, Intraoperative / methods
Perfusion / methods
Pulmonary Artery / physiopathology,  surgery*
Spectroscopy, Near-Infrared
Treatment Outcome
Comments/Corrections

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