| A Combination of
a Modification of Bentall's Procedure, the Elephant Trunk Method
and Aortic Arch Replacement for Marfan's Syndrome Using Cardioplegia |
(Department of Cardiovascular Surgery, National
Toyohashi Higashi Hospital, Aichi, Japan)
| Tsuneo Tanaka |
Yasuhide Ohkawa |
Masahiro Toyama |
| Masaki Hashimoto |
Koji Matsumoto |
|
|
A 44-year-old woman with Marfan's
syndrome presented complaining of severe back pain. Angiography
revealed annulo aortic ectasia, aortic regurgitation, acute aoric
dissection (DeBakeyIIIb) and distal aortic arch aneurysm. One
month after admission, she underwent cardiopulmonary bypass was
established through the femoral artery, the superior and inferior
vena cava. The heart was arrested by aortic cross clamping and
retrograde cold (20℃) cardioplegia. At first, a modified Bentall's
procedure was done in addition to a Carrel patch procedure. After
this procedure, the heart was perfused continuously (300ml/min)
with warm (37℃) blood until the end of the cardiopulmonary bypass.
The heart recovered a sinus rhythm spontaneously. Subsequently,
aortic arch replacement and the elephant trunk method was done
with the aid of deep hypothermia and circulatory arrest. The
patients is well 1 year after the operation. This technique is
useful for patients who require prolonged aortic cross clamping
time.
Jpn. J. Cardiovasc. Surg. 29: 91-93 (2000) |
|
