HOMEPRODUCTSCOMPANYCONTACTFAQResearchDictionaryPharmaSign Up FREE or Login

Open distal anastomosis technique for ascending aortic aneurysm repair without cerebral perfusion.

AbstractBACKGROUND:
This study aimed to report the outcomes of patients who underwent proximal thoracic aortic aneurysm surgery with open distal anastomosis technique but without cerebral perfusion, instead under deep hypothermic circulatory arrest.
METHODS:
Thirty patients (21 male, 9 female) who underwent ascending aortic aneurysm repair with open distal anastomosis technique were included. The average age was 60.2±11.7 years. Operations were performed under deep hypothermic circulatory arrest and the cannulation for cardiopulmonary bypass was first done over the aneurysmatic segment and then moved over the graft. Intraoperative and early postoperative mortality and morbidity outcomes were reported.
RESULTS:
Average duration of cardiopulmonary bypass and cross-clamps were 210.8±43 and 154.9±35.4 minutes, respectively. Average duration of total circulatory arrest was 25.2±2.4 minutes. There was one hospital death (3.3%) due to chronic obstructive pulmonary disease at postoperative day 22. No neurological dysfunction was observed during the postoperative period.
CONCLUSION:
These results demonstrate that open distal anastomosis under less than 30 minutes of deep hypothermic circulatory arrest without antegrade or retrograde cerebral perfusion and cannulation of the aneurysmatic segment is a safe and reliable procedure in patients undergoing proximal thoracic aortic aneurysm surgery.
AuthorsMehmet Kaplan, Bahar Temur, Tolga Can, Gunseli Abay, Adlan Olsun, Hakki Aydogan
JournalThe heart surgery forum (Heart Surg Forum) Vol. 18 Issue 4 Pg. E124-8 (Aug 30 2015) ISSN: 1522-6662 [Electronic] United States
PMID26334846 (Publication Type: Clinical Trial, Journal Article)
Topics
  • Adult
  • Aged
  • Anastomosis, Surgical (methods)
  • Aorta (surgery)
  • Aortic Aneurysm, Thoracic (diagnosis, surgery)
  • Cardiopulmonary Bypass (methods)
  • Cerebral Revascularization
  • Combined Modality Therapy (methods)
  • Female
  • Humans
  • Male
  • Middle Aged
  • Operative Time
  • Survival Rate
  • Treatment Outcome

Join CureHunter, for free Research Interface BASIC access!

Take advantage of free CureHunter research engine access to explore the best drug and treatment options for any disease. Find out why thousands of doctors, pharma researchers and patient activists around the world use CureHunter every day.
Realize the full power of the drug-disease research graph!


Choose Username:
Email:
Password:
Verify Password:
Enter Code Shown: