Document Detail


Surgical treatment of left ventricular outflow obstruction in the neonate: profound hypothermia and circulatory arrest.
MedLine Citation:
PMID:  7944804     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In the 1950s, Sealy and his co-workers developed an improved technique for inducing cardiac and total body hypothermia using a pump oxygenator and heat exchanger. These techniques have been gradually adopted, and now markedly facilitate the repair of some congenital cardiac malformations presenting in infancy. In this paper, I discuss two forms of congenital cardiac lesions: an interrupted aortic arch and critical aortic stenosis. For both of these congenital malformations, operation in infancy using closed techniques has resulted in a very poor outcome. Using cardiopulmonary bypass, induced hypothermia, and circulatory arrest, accurate arch repair and aortic valvotomy can be performed together with repair of associated lesions. Improved results can be expected from the use of the more precise repair techniques afforded by a dry and bloodless field.
Authors:
J W Hammon
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  58     ISSN:  0003-4975     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  1994 Oct 
Date Detail:
Created Date:  1994-11-10     Completed Date:  1994-11-10     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1274-7     Citation Subset:  AIM; IM    
Affiliation:
Department of Cardiothoracic Surgery, Bowman Gray School of Medicine, Winston-Salem, NC 27157-1096.
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MeSH Terms
Descriptor/Qualifier:
Aorta / abnormalities,  surgery
Aortic Valve Stenosis / complications,  congenital,  surgery
Heart Arrest, Induced*
Humans
Hypothermia, Induced*
Infant, Newborn
Ventricular Outflow Obstruction / etiology,  surgery*

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


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