PMID: 8993247Jan 1, 1997Paper

Aortic arch operation using selective cerebral perfusion for nondissecting thoracic aneurysm

The Annals of Thoracic Surgery
J HayashiM Takamiya

Abstract

Risks of increasing mortality and disability in aortic arch operations using the selective cerebral perfusion method for nondissecting aneurysm have not yet been determined. A multicenter, retrospective study was employed. The subjects were 143 patients who were admitted to one of the nine cardiovascular centers between January 1988 and December 1993, including 15 with ruptured aneurysm. A graft replacement of the transverse aortic arch or distal arch was performed in 80 patients, extensive aortic reconstruction comprising simultaneous replacement of the ascending or descending thoracic aorta (or both) in 46, and patch repair of involved arch in 17. The mean postoperative follow-up period was 19 months. Hospital mortality was 36/143 patients (25.2%). Univariate analysis revealed that age of 70 years or more, ruptured aneurysm, and renal dysfunction affected hospital mortality. Neurologic deficits were noted in 15 patients (10.5%). Reoperation was performed in 13 patients for residual distal aneurysm or false aneurysm. Late death occurred in 10 patients and were due to vascular complications in 6. Multivariate analysis confirmed that aneurysmal rupture and renal dysfunction were independent predictors for vascular death includin...Continue Reading

References

Jan 1, 1995·Perfusion·S A Raskin, J S Coselli
Feb 1, 1995·The Journal of Thoracic and Cardiovascular Surgery·G M DeebN D Deeb
May 1, 1994·The Annals of Thoracic Surgery·K TabayashiH Mohri
Aug 1, 1993·The Annals of Thoracic Surgery·H J SafiL G Svensson
Jan 1, 1995·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·T KazuiS Komatsu

❮ Previous
Next ❯

Citations

Mar 22, 2001·The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai Zasshi·Y TakaharaN Nakajima
Nov 4, 1998·The Annals of Thoracic Surgery·M OhmiH Saito
Sep 6, 2000·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·H TakanoN Shinohara
Jan 16, 2004·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Hardy SchumacherJens-Rainer Allenberg
Jul 3, 1999·The Annals of Thoracic Surgery·K M DosscheF E Vermeulen
Nov 25, 2004·The Annals of Thoracic Surgery·Charles T KlodellTomas D Martin
Aug 2, 2000·The Annals of Thoracic Surgery·R Di BartolomeoA Pierangeli
Apr 12, 2000·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·N ShiiyaK Yasuda
Mar 14, 2003·Journal of Cardiothoracic and Vascular Anesthesia·Kazuyoshi IshidaTakefumi Sakabe

❮ Previous
Next ❯

Related Concepts

Related Feeds

Aneurysm

Aneurysms are outward distensions or bulges that occurs in a weakened wall of blood vessels. Discover the latest research on aneurysms here.

Aortic Aneurysm

An aortic aneurysm is the weakening and bulging of the blood vessel wall in the aorta. This causes dilatation of the aorta, which is usually asymptomatic but carries the risk of rupture and hemorrhage. Find the latest research on aortic aneurysms here.

Related Papers

The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai Zasshi
Y TeradaM Inagaki
The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai Zasshi
S HiraiY Matsuura
European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
Teruhisa KazuiS Komatsu
The Annals of Thoracic Surgery
J S CoselliB Djukanovic
© 2022 Meta ULC. All rights reserved