| Surgical treatment of aortic arch aneurysms using selective cerebral perfusion. Experience with 100 patients. | |
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MedLine Citation:
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PMID: 8800697 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Hundred consecutive patients were operated on for aortic arch aneurysms between January 1986 and October 1993. All operations were performed with the aid of extracorporeal circulation, blood cardioplegia for myocardial protection, and selective cerebral perfusion (SCP) for protection of cerebral ischemia during aortic arch repair. Forty-four patients (44%) had an emergency operation because of frank or impending rupture of aneurysms or acute aortic dissection. Eighty-three patients (83%) underwent total arch replacement, and 54 had concomitant procedures including aortic valve resuspension, aortic valve replacement (AVR), composite graft replacement and coronary artery bypass grafting (CABG). The overall early (30-day) mortality rate was 16%. Multivariate analysis revealed, as significant risk factors, preoperative cardiopulmonary resuscitation, renal-mesenteric ischemia due to acute dissection, previous ascending aorta/arch operation and preoperative stroke. Of the 71 (71%) patients who were free of these risk factors, only one (1.4%) died. One patient (1%), who was preoperatively in shock state, had a distinct stroke. The present data suggest that SCP is a useful method for aortic arch aneurysm operation requiring complex repair of the aortic arch. |
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Authors:
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T Kazui; N Kimura; S Komatsu |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery Volume: 9 ISSN: 1010-7940 ISO Abbreviation: Eur J Cardiothorac Surg Publication Date: 1995 |
Date Detail:
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Created Date: 1996-09-30 Completed Date: 1996-09-30 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8804069 Medline TA: Eur J Cardiothorac Surg Country: NETHERLANDS |
Other Details:
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Languages: eng Pagination: 491-5 Citation Subset: IM |
Affiliation:
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Second Department of Surgery, Sapporo Medical University School of Medicine, Japan. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Aorta, Thoracic / surgery* Aortic Aneurysm / mortality, surgery* Cerebral Revascularization* / mortality Extracorporeal Circulation Female Humans Male Middle Aged Multivariate Analysis Perfusion / methods Postoperative Complications / etiology Risk Factors Survival Rate |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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