Document Detail


Pulmonary endarterectomy: with use of moderate hypothermia and antegrade cerebral perfusion without circulatory arrest.
MedLine Citation:
PMID:  22412231     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Pulmonary endarterectomy is the treatment of choice in suitable patients who have chronic thromboembolic pulmonary hypertension. The most common surgical technique involves the use of deep hypothermic circulatory arrest. Herein, we describe a modified aortic clamping technique with selective antegrade cerebral perfusion, performed with moderate hypothermia but without circulatory arrest. This technique avoids the adverse effects of deep hypothermic circulatory arrest and also establishes a bloodless surgical field. We achieved good surgical results and acceptable long-term outcomes in 3 patients with use of this technique, which we recommend as a feasible alternative to the standard operative practice.
Authors:
Gokhan Lafci; Irfan Tasoglu; Mahmut Mustafa Ulas; Adnan Yalcinkaya; Kerim Cagli
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:  2012-03-13     Completed Date:  2012-11-12     Revised Date:  2013-06-26    
Medline Journal Info:
Nlm Unique ID:  8214622     Medline TA:  Tex Heart Inst J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  65-7     Citation Subset:  IM    
Affiliation:
Department of Cardiovascular Surgery, Turkiye Yuksek Ihtisas Hospital, 06100 Ankara, Turkey.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aorta / physiopathology,  surgery*
Cerebrovascular Circulation*
Constriction
Endarterectomy*
Female
Hemodynamics
Humans
Hypertension, Pulmonary / physiopathology,  surgery*
Hypothermia, Induced*
Middle Aged
Perfusion / methods*
Pulmonary Artery / physiopathology,  surgery*
Pulmonary Circulation*
Treatment Outcome
Comments/Corrections

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


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