| One-stage total repair of aortic arch anomaly using regional perfusion. | |
| | |
MedLine Citation:
|
PMID: 17126555 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: Primary repair of aortic arch obstructions and associated cardiac anomalies is a surgical challenge in neonates and infants. Deep hypothermic circulatory arrest prolongs myocardial ischemia and might induce cerebral and myocardial dysfunction. METHODS: From March 2000 to December 2005, 69 neonates or infants with aortic arch anomaly underwent one-stage biventricular repair with continuous cerebral perfusion in the presence of a nonworking beating heart using the dual perfusion technique on the innominate artery and aortic root. Preoperative diagnoses of arch anomaly comprised aortic coarctation (n=54) or an interrupted aortic arch (n=15). Combined anomalies were ventricular septal defect (n=52), anomalous origin of the right pulmonary artery from ascending aorta (n=3), hypoplastic left heart syndrome (n=2), truncus arteriosus (n=2), atrioventricular septal defect (n=2), double outlet right ventricle (n=1), total anomalous pulmonary venous return (n=1), partial anomalous pulmonary venous return (n=1), and aortic stenosis (n=1). RESULTS: The mean regional perfusion time was 27.8+/-9.8 min. There was no operative mortality. Postoperative low cardiac output was present in four patients (5.8%). A neurologic complication was noted in one patient (1.5%) who developed transient chorea, but recovered completely. During 32.8+/-17.5 months of follow-up, one late death (1.5%) occurred. There was neither reoperation associated with arch anomaly nor recoarctation except in one patient. One patient developed left main bronchial compression necessitating aortopexy. CONCLUSIONS: One-stage total arch repair using our regional perfusion technique is an excellent method that may minimize neurologic and myocardial complications without mortality. Our surgical strategy for arch anomaly has a low rate of residual and recurrent coarctation when performed in neonates and infants. |
| | |
Authors:
|
Hong-Gook Lim; Woong-Han Kim; Woo-Sung Jang; Cheong Lim; Jae Gun Kwak; Cheul Lee; Seong Wook Hwang; Chang-Ha Lee |
Related Documents
:
|
9692435 - Arterial inflow via an axillary artery graft for the severely atheromatous aorta. 3127905 - Left or right transaxillary approach in lower extremity arteriography for severe occlus... 19932255 - "hybrid" repair of aneurysms of the transverse aortic arch: midterm results. 8607685 - Growth potential in the new aortic arch after non-end-to-end repair of aortic arch inte... 11216745 - Reoperative cabg using left thoracotomy: a tailored strategy. 16550315 - Combined approach to a peripheral congenital arteriovenous malformation: surgery and em... |
Publication Detail:
|
Type: Evaluation Studies; Journal Article; Research Support, Non-U.S. Gov't Date: 2006-11-28 |
Journal Detail:
|
Title: European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery Volume: 31 ISSN: 1010-7940 ISO Abbreviation: Eur J Cardiothorac Surg Publication Date: 2007 Feb |
Date Detail:
|
Created Date: 2007-01-30 Completed Date: 2007-04-16 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8804069 Medline TA: Eur J Cardiothorac Surg Country: Germany |
Other Details:
|
Languages: eng Pagination: 242-8 Citation Subset: IM |
Affiliation:
|
Department of Thoracic and Cardiovascular Surgery, Sejong General Hospital, Sejong Heart Institute, Bucheon, Republic of Korea. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Aortic Arch Syndromes
/
surgery* Aortic Coarctation / surgery Brain Diseases / prevention & control Cardiopulmonary Bypass Cerebrovascular Circulation Follow-Up Studies Heart Arrest, Induced / methods Heart Septal Defects, Ventricular / surgery Humans Infant Infant, Newborn Perfusion / methods Postoperative Complications Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Cardiac dysfunction in the R6/2 mouse model of Huntington's disease.
Next Document: Morbidity, mortality, and long-term survival after sleeve lobectomy for non-small cell lung cancer.