Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Atheromatous plaque in the distal aortic arch creating the potential for cerebral embolism during cardiopulmonary bypass
Autore:
Hamano, K; Ikeda, Y; Mikamo, A; Okada, H; Gohra, H; Zempo, N; Ueda, K; Kimura, K; Murata, K; Matsuzaki, M; Esato, K;
Indirizzi:
Yamaguchi Univ, Sch Med, Dept Surg 1, Ube, Yamaguchi 7558505, Japan Yamaguchi Univ Ube Yamaguchi Japan 7558505 Ube, Yamaguchi 7558505, Japan Yamaguchi Univ, Sch Med, Dept Internal Med 2, Ube, Yamaguchi 7558505, Japan Yamaguchi Univ Ube Yamaguchi Japan 7558505 Ube, Yamaguchi 7558505, Japan
Titolo Testata:
JAPANESE CIRCULATION JOURNAL-ENGLISH EDITION
fascicolo: 3, volume: 65, anno: 2001,
pagine: 161 - 164
SICI:
0047-1828(200103)65:3<161:APITDA>2.0.ZU;2-I
Fonte:
ISI
Lingua:
ENG
Soggetto:
CORONARY-ARTERY SURGERY; TRANSESOPHAGEAL ECHOCARDIOGRAPHY; THORACIC AORTA; ASCENDING AORTA; STROKE; ATHEROSCLEROSIS; HYPERCHOLESTEROLEMIA; DISEASE;
Keywords:
atheroma plaque; cardiopulmonary bypass; coronary artery bypass surgery; embolism; transesophageal; echocardiography;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
16
Recensione:
Indirizzi per estratti:
Indirizzo: Hamano, K Yamaguchi Univ, Sch Med, Dept Surg 1, 1-1-1 Minam Kogushi, Ube, Yamaguchi 7558505, Japan Yamaguchi Univ 1-1-1 Minam Kogushi Ube Yamaguchi Japan 7558505 n
Citazione:
K. Hamano et al., "Atheromatous plaque in the distal aortic arch creating the potential for cerebral embolism during cardiopulmonary bypass", JPN CIRC J, 65(3), 2001, pp. 161-164

Abstract

The present study evaluated the risk in cardiac patients of rupture of a plaque by a jet stream from the arch cannula. The entire thoracic aorta and cardiac function were routinely monitored by transesophageal echocardiography (TEE) in 88 adult patients who underwent coronary artery bypass surgery. The changes in the atheromatous plaque in the distal aortic arch were observed before and after cardiopulmonary bypass. Of the 88 patients, 13 were found to have preoperative atheromatous plaque at the distal aortic arch and8 (61.5%) of them suffered plaque rupture caused by jet stream from the arch cannula. Only 1 patient experienced apparent embolic episodes manifesting as cerebral and left leg embolisms; the remaining 7 had no clinical embolic symptoms. In order to prevent atheroembolic events, attention should be paid not only to the ascending aorta, but also to the distal arch and in this regard TEE is useful for detecting atheromatous changes of the aorta.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 01/12/20 alle ore 22:17:50