Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Aortic arch repairs through three different approaches
Autore:
Ogino, H; Ueda, Y; Sugita, T; Matsuyama, K; Matsubayashi, K; Nomoto, N; Yoshioka, T;
Indirizzi:
Natl Cardiovasc Ctr, Dept Cardiovasc Surg, Osaka 5658565, Japan Natl Cardiovasc Ctr Osaka Japan 5658565 ovasc Surg, Osaka 5658565, Japan Nagoya Univ, Sch Med, Dept Thorac Surg, Showa Ku, Aichi 4668550, Japan Nagoya Univ Aichi Japan 4668550 rac Surg, Showa Ku, Aichi 4668550, Japan Tenri Hosp, Dept Cardiovasc Surg, Nara 6328552, Japan Tenri Hosp Nara Japan 6328552 Dept Cardiovasc Surg, Nara 6328552, Japan
Titolo Testata:
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
fascicolo: 1, volume: 19, anno: 2001,
pagine: 25 - 29
SICI:
1010-7940(200101)19:1<25:AARTTD>2.0.ZU;2-6
Fonte:
ISI
Lingua:
ENG
Soggetto:
RETROGRADE CEREBRAL PERFUSION; HYPOTHERMIC CIRCULATORY ARREST; ANTERO-AXILLARY THORACOTOMY; POSTEROLATERAL THORACOTOMY; ANEURYSMS; SURGERY; OPERATIONS;
Keywords:
aortic arch repair; surgical approach; hypothermic circulatory arrest; retrograde cerebral perfusion; open aortic anastomosis;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
18
Recensione:
Indirizzi per estratti:
Indirizzo: Ogino, H Natl Cardiovasc Ctr, Dept Cardiovasc Surg, 5-7-1 Fujishirodai, Osaka 5658565, Japan Natl Cardiovasc Ctr 5-7-1 Fujishirodai Osaka Japan 5658565 Japan
Citazione:
H. Ogino et al., "Aortic arch repairs through three different approaches", EUR J CAR-T, 19(1), 2001, pp. 25-29

Abstract

Objectives: The outcome of aortic arch repairs by means of three differentapproaches between 1990 and January 2000 was reviewed. Methods: In total 39 patients aged 71.5 +/- 6.2 years were operated on. The three different surgical approaches depended on the anatomical positions of the aneurysms andon their proximal or distal extension; a median approach was employed in 23 patients, whereas a left posterolateral approach was used in eight patients. Mon recently, in eight cases a left antero-lateral approach was applied. All patients underwent open aortic anastomosis without any clamp on or around the aortic arch. During the procedure, the brain was protected by a combination of profound hypothermic circulatory arrest and several techniquesof retrograde cerebral perfusion. Results: Permanent cerebral dysfunction occurred in four patients: two in the median approach and two in the left postero-lateral approach. There were two hospital deaths (5.3%) and six latedeaths, all of which belonged either to the median group or to the postero-lateral group. The antero-lateral approach did not produce any cerebral dysfunction, early death, or late death. Conclusions: The outcome of aortic arch repairs using profound hypothermic circulatory arrest and variable techniques of retrograde cerebral perfusion, by means of three different approaches, was satisfactory. Of the three approaches, the antero-lateral approach can be employed easily, whether aneurysms extend proximally or distally. (C) 2001 Elsevier Science B.V. All rights reserved.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 29/03/20 alle ore 17:10:42