Operative Management of Aortic Arch Aneurysms using Profound Hypothermia and Circulatory Arrest

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• 作者：Ehrlich ; M. ; Grabenw&ouml ; ger ; M. ; Simon ; P. ; Laufer ; G. ; Wolner ; E. ; Havel ; M.
• 刊名：Cardiovascular Surgery
• 出版年：1995
• 出版时间：September, 1995
• 年：1995
• 卷：3
• 期：Complete
• 页码：129-130
• 全文大小：180 K

文摘

Between October 1990 and September 1994, 79 patients underwent aortic arch replacement for aneurysmal disease in our institution. Fifty-nine patients had a dissection. Type A (43 acute, 16 chronic), and 20 patients (6 acute, 14 chronic) had an aortic diameter of more than 6 cm. The patients age (53 male, 26 female) ranged between 16 and 81 years. Primary diagnosis was hypertension (n = 60), Marfan (n = 8), unknown (n = 10) and trauma (n = 1). Total cardiopulmonary bypass was established via femoral artery cannulation. Cortisone and thiopental were given for added cerebral protection. Deep hypothermia, confirmed by isoelectric-EEG, and circulatory arrest were induced in all patients. The aneurysm was opened longitudinally and a full thickness single patch or ‘island’ of aortic wall, containing the origins of the three arch vessels, was constructed and anastomosed in a continuous fashion to an albumin pretreated graft.