Document Detail

Novel technique for aortic arch surgery under mild hypothermia.
MedLine Citation:
PMID:  18154850     Owner:  NLM     Status:  MEDLINE    
We present our initial experience in 5 patients for open aortic arch repair with continuous antegrade perfusion of the brain and of the lower body by means of direct cannulation of the right axillary artery and of the descending aorta with a venous cannula (DLP 91037 cannula [Medtronic Inc, Minneapolis, MN]) for systemic perfusion under mild hypothermia (30 degrees C). This mode of perfusion allows safe open repair of the aortic arch, short aortic cross clamping, and CPB times associated to all the known advantages of the mild hypothermia; this technique could have the potential to be generally applicable in surgeries for aortic arch repairs after further evaluation.
Aristotelis Panos; Patrick-Olivier Myers; Afkskendiyos Kalangos
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  85     ISSN:  1552-6259     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2008 Jan 
Date Detail:
Created Date:  2007-12-24     Completed Date:  2008-01-25     Revised Date:  2009-04-22    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  347-8     Citation Subset:  AIM; IM    
Clinic for Cardiovascular Surgery, University Hospital of Geneva, Geneva, Switzerland.
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MeSH Terms
Aneurysm, Dissecting / surgery*,  ultrasonography
Aorta, Thoracic / surgery
Aortic Aneurysm, Thoracic / surgery*,  ultrasonography
Blood Vessel Prosthesis Implantation / methods*
Brain Ischemia / prevention & control*
Cardiopulmonary Bypass / methods
Cerebrovascular Circulation / physiology
Echocardiography, Doppler
Follow-Up Studies
Hypothermia, Induced / methods*
Middle Aged
Monitoring, Intraoperative / methods
Prospective Studies
Risk Assessment
Treatment Outcome
Comment In:
Ann Thorac Surg. 2008 Oct;86(4):1400; author reply 1400   [PMID:  18805217 ]
Ann Thorac Surg. 2009 May;87(5):1650; author reply 1650   [PMID:  19379942 ]

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