Outcomes after thoracoabdominal aortic aneurysm repair with hypothermic circulatory arrest

The Journal of Thoracic and Cardiovascular Surgery
Alexander KulikNicholas T Kouchoukos

Abstract

Recent advances in endovascular surgery have put into question the role of open operative treatment of thoracoabdominal aortic aneurysms. In this context we evaluated our experience with thoracoabdominal aortic aneurysm repair using cardiopulmonary bypass and hypothermic circulatory arrest. From January 1986 to December 2008, 218 patients (mean age, 63 ± 14 years) underwent thoracoabdominal aortic aneurysm repair with cardiopulmonary bypass and hypothermic circulatory arrest. The degree of repair was as follows: Crawford extent I, 57 (26%) patients; Crawford extent II, 91 (41%) patients; and Crawford extent III, 70 (32%) patients. Degenerative aneurysms were present in 160 (73%) patients. Eighteen (8%) patients underwent emergency operations. The mean durations of cardiopulmonary bypass and hypothermic circulatory arrest were 160 ± 44 and 31 ± 12 minutes, respectively. Stroke occurred in 8 (3.7%) patients, and spinal cord ischemic injury occurred in 10 (4.6%) patients (8 with paraplegia and 2 with paraparesis). Temporary dialysis for new-onset renal failure was required in 3.6% of hospital survivors. Thirty-day and 1-year mortality rates were 7.3% and 24.5%, respectively. After emergency operations, the 30-day mortality rate wa...Continue Reading

References

Feb 25, 1998·Journal of Vascular Surgery·H J SafiJ C Baldwin
Apr 20, 2005·Archives of Surgery·Harmik J SoukiasianAlfredo Trento
Sep 27, 2005·Journal of the American College of Surgeons·Nicholas T KouchoukosCatherine F Castner
Jun 13, 2006·Journal of Vascular Surgery·Stephen Alan BlackMichael P Jenkins
Oct 26, 2006·The Annals of Thoracic Surgery·Christian D EtzRandall B Griepp
Jan 30, 2007·The Annals of Thoracic Surgery·Mark F ConradRichard P Cambria
Jan 30, 2007·The Annals of Thoracic Surgery·Joseph S CoselliScott A LeMaire
May 30, 2007·The Journal of Thoracic and Cardiovascular Surgery·Eric E RoselliBruce W Lytle
Aug 9, 2007·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·K P DonasJ Nanobachvili
Nov 6, 2007·Journal of Vascular Surgery·Timothy A M ChuterLinda M Reilly
Apr 30, 2008·Circulation·Roy K Greenberg, Bruce Lytle
Sep 9, 2008·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Michael P SiegenthalerFriedhelm Beyersdorf
Apr 28, 2009·Journal of Vascular Surgery·William Quinones-BaldrichWesley S Moore
Jul 1, 2009·Journal of Vascular Surgery·Rajendra PatelRichard P Cambria
Jul 22, 2009·The Journal of Thoracic and Cardiovascular Surgery·Alexander KulikNicholas T Kouchoukos

❮ Previous
Next ❯

Citations

Feb 1, 2012·Scandinavian Cardiovascular Journal : SCJ·Fredrik YannopoulosTatu Juvonen
Feb 24, 2016·The Journal of Thoracic and Cardiovascular Surgery·Joseph S CoselliTodd K Rosengart
Dec 1, 2015·Annals of Vascular Surgery·Toshihiro Fukui, Shuichiro Takanashi
Jan 31, 2016·Multimedia Manual of Cardiothoracic Surgery : MMCTS·Marc A A M Schepens
Sep 17, 2013·The Journal of Thoracic and Cardiovascular Surgery·Atsushi OmuraYutaka Okita
Feb 21, 2013·The Journal of Thoracic and Cardiovascular Surgery·Randall B Griepp, Gabriele Di Luozzo
Dec 25, 2012·The Journal of Thoracic and Cardiovascular Surgery·Nicholas T KouchoukosCatherine F Castner
Dec 25, 2012·The Journal of Thoracic and Cardiovascular Surgery·Gabriele Di Luozzo
Aug 30, 2011·The Annals of Thoracic Surgery·Alexander KulikNicholas T Kouchoukos
Aug 20, 2014·The Journal of Thoracic and Cardiovascular Surgery·Muhammad Aftab, Joseph S Coselli
Apr 22, 2015·Current Treatment Options in Cardiovascular Medicine·Kristine C Orion, James H Black
Jul 26, 2011·The Journal of Thoracic and Cardiovascular Surgery·Toshihiro FukuiShuichiro Takanashi
Sep 27, 2012·The Journal of Thoracic and Cardiovascular Surgery·Sarah GeisbüschGabriele Di Luozzo
Dec 3, 2014·The Journal of Thoracic and Cardiovascular Surgery·Randall B Griepp, Eva B Griepp
Mar 3, 2015·The Journal of Thoracic and Cardiovascular Surgery·Muhammad Aftab, Joseph S Coselli
Sep 13, 2014·The Journal of Thoracic and Cardiovascular Surgery·Nicholas T KouchoukosCatherine F Castner
Dec 3, 2014·The Journal of Thoracic and Cardiovascular Surgery·Muhammad AftabJoseph S Coselli
Sep 22, 2016·Best Practice & Research. Clinical Anaesthesiology·Helen LindsayGeorge Djaiani
May 23, 2016·Interactive Cardiovascular and Thoracic Surgery·Kenji MinatoyaJunjiro Kobayashi
Oct 26, 2016·Journal of Vascular Surgery·Ehsan BenrashidG Chad Hughes
Jul 28, 2016·The Journal of Thoracic and Cardiovascular Surgery·Nicholas T Kouchoukos
Sep 1, 2016·The Journal of Thoracic and Cardiovascular Surgery·Nicholas T KouchoukosCatherine Castner
Oct 19, 2016·The Journal of Thoracic and Cardiovascular Surgery·Keisuke KandaYoshikatsu Saiki
Sep 3, 2014·Asian Cardiovascular & Thoracic Annals·Nirmal Panthee, Minoru Ono
Oct 12, 2017·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Hamdy AwadCharles D Collard
Sep 1, 2012·Therapeutic Hypothermia and Temperature Management·Hamdy AwadPhillip G Popovich
Sep 29, 2017·General Thoracic and Cardiovascular Surgery·Mohamad BashirAung Oo
Jun 20, 2012·Current Opinion in Critical Care·Kent B Berg, Gregory M Janelle
Mar 23, 2017·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Nicholas T Kouchoukos
Jul 12, 2017·Journal of Cardiac Surgery·Reilly D HobbsPrashanth Vallabhajosyula
Jun 1, 2019·Indian Journal of Thoracic and Cardiovascular Surgery : Official Organ, Association of Thoracic and Cardiovascular Surgeons of India·Richard S Whitlock, Joseph S Coselli
Jan 25, 2021·Journal of Vascular Surgery·Thibault CoutureFabien Koskas
May 16, 2019·The Annals of Thoracic Surgery·Nicholas T KouchoukosCatherine F Castner
Apr 7, 2021·The Journal of Thoracic and Cardiovascular Surgery·Andrea KahlbergUNKNOWN CURITIBA Investigators
Dec 31, 2019·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·Yuma MotomatsuAkira Shiose
Oct 19, 2016·The Journal of Thoracic and Cardiovascular Surgery·Patrick T Roughneen, Abe DeAnda

❮ 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.

Acute Stroke

A stroke occurs when blood supply to the brain is interrupted depriving the brain of oxygen and nutrients. This feed focuses cerebrovascular accidents including ischemic and paralytic stroke.

Blood Clotting Disorders

Thrombophilia includes conditions with increased tendency for excessive blood clotting. Blood clotting occurs when the body has insufficient amounts of specialized proteins that make blood clot and stop bleeding. Here is the latest research on blood clotting disorders.

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.