| Transapical aortic cannulation using a deep hypothermic procedure through a left thoracotomy for acute traumatic aortic rupture. | |
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MedLine Citation:
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PMID: 14650594 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We describe a transapical aortic cannulation procedure through a left thoracotomy for a case of acute traumatic aortic rupture. A 26-year-old man was involved in a motor vehicle accident and admitted in a state of hypovolemic shock. Chest computed tomography findings revealed a rupture of the proximal portion of the descending aorta and a massive hematoma around the aorta extending into the thoracic cavity. Under hypothermic circulatory arrest, he underwent an emergency graft replacement through a left thoracotomy. We used transapical aortic cannulation together with femoral cannulation, in order to avoid malperfusion of the brain and upper body that can occur as a result of retrograde perfusion. The postoperative outcome was favorable. Transapical cannulation is a useful alternative for hypothermic aortic operations through a left thoracotomy. |
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Authors:
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Takahiro Takemura; Yoshiei Shimamura; Masayuki Sakaguchi; Yasutoshi Tsuda; Shizuko Iwasa |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: The Japanese journal of thoracic and cardiovascular surgery : official publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai zasshi Volume: 51 ISSN: 1344-4964 ISO Abbreviation: Jpn. J. Thorac. Cardiovasc. Surg. Publication Date: 2003 Nov |
Date Detail:
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Created Date: 2003-12-02 Completed Date: 2004-02-04 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 100884261 Medline TA: Jpn J Thorac Cardiovasc Surg Country: Japan |
Other Details:
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Languages: eng Pagination: 619-21 Citation Subset: IM |
Affiliation:
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Department of Cardiovascular Surgery, National Nagano Hospital, Ueda, Nagano, Japan. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Accidents, Traffic Adult Aorta, Thoracic / injuries*, surgery* Aortic Rupture / surgery* Humans Hypothermia, Induced* Thoracotomy / methods* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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