Minimized mortality and neurological complications in surgery for chronic arch aneurysm: axillary artery cannulation, selective cerebral perfusion, and replacement of the ascending and total arch aorta

Journal of Cardiac Surgery
Yasuhisa ShimazakiFumihiro Takeda

Abstract

Cerebral complication is still a major concern in surgery for arteriosclerotic aortic arch disease. For preventing this complication, axillary artery cannulation, selective cerebral perfusion, and replacement of the ascending and arch aorta were applied to thoracic aortic aneurysm involving aortic arch. From May 1999 to July 2002, consecutive 39 patients with true aneurysm (29 patients) or chronic aortic dissection (10 patients) involving aortic arch underwent replacement of the ascending and arch aorta with an elephant trunk under hypothermic cardiopulmonary bypass through the axillary artery cannulation and selective cerebral perfusion. The brain was continuously perfused without any intermission through the axillary artery. Concomitant operation included coronary artery bypass grafting (CABG) in two patients, aortic valve replacement (AVR) in one, Bentall operation in two, mitral valve replacement (MVR) in one, and aortic valve sparing operation in one. Patient age at operation was 40-84 (72 + 9) years and 24 of them were older than 70 years of age. There was one operative death (2.5%) due to bleeding from the left lung, and one hospital death due to respiratory failure. Postoperative permanent neurological dysfunction was f...Continue Reading

References

May 1, 1995·The Journal of Thoracic and Cardiovascular Surgery·J F SabikD M Cosgrove
Mar 1, 1995·The Annals of Thoracic Surgery·H TanakaS Komatsu
Nov 28, 2000·The Annals of Thoracic Surgery·T UedaS Kawada
Mar 10, 2001·The Journal of Thoracic and Cardiovascular Surgery·T KazuiM Takinami
Aug 14, 2002·The Annals of Thoracic Surgery·Franz F ImmerThierry P Carrel
Aug 14, 2002·The Annals of Thoracic Surgery·Marc R Moon, Thoralf M Sundt

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Citations

Jun 8, 2006·The Heart Surgery Forum·Bilgin EmrecanAli Gürbüz
Apr 21, 2009·Journal of Cardiothoracic and Vascular Anesthesia·Bilgin Emrecan, Engin Tulukoğlu
Mar 27, 2007·The Journal of Thoracic and Cardiovascular Surgery·Ridwan LinDerk Krieger
Feb 20, 2007·The Annals of Thoracic Surgery·Helmut GulbinsJürgen Ennker
Jan 25, 2006·Asian Cardiovascular & Thoracic Annals·Xiao-Tong HouJian-Gang Wang

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