| Central Cannulation, Moderately
Hypothermic Cardiopulmonary Bypass, Selective Cerebral Perfusion
and Antero-Axillary Thoracotomy for Distal Aortic Arch Aneurysm |
(Department of Cardiovascular Surgery, Takeda Hospital,
Kyoto, Japan and Department of Cardiovascular Surgery, Osaka Red
Cross Hospital*, Osaka, Japan)
| Tomoyuki Yamada* |
Ario Yamazato |
|
|
Ten patients with distal aortic
arch aneurysm underwent prosthetic graft replacement using moderately
hypothermic cardiopulmonary bypass and selective cerebral perfusion
via antero-axillary thoracotomy. Central cannulation was performed
in the ascending aorta and venous drainage from the right femoral
vein. The mean patient age was 74 years and the mean surgical
duration was 5 h and 12 min. One patient died of multiple cerebral
embolisms. Nine patients survived without major complications.
Anastomosis between the vascular graft and the distal aorta can
be easily achieved via left thoracotomy. Moderate hypothermia
provides less coagulopathy and is less invasive. The rate of
cerebral complications was acceptable. This technique is preferable
for surgical treatment of the distal aortic arch.
Jpn. J. Cardiovasc. Surg. 32：28-30（2003） |
|
