TITLE

Reoperation for a type I aortic dissection: case report

AUTHOR(S)
Wise, R.K.; Wiggs, N.T.; Dasilva, M.C.; McCoach, R.M.; Pae, W.E.; Baer, L.D.; Hamilton, L.J.; Hummer, G.J.; Kapp, C.J.; Williams, D.R.
PUB. DATE
March 2000
SOURCE
Perfusion;Mar2000, Vol. 15 Issue 2, p155
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Surgery for the repair of a type I aortic dissection presents several difficulties for the surgeon and the perfusionist. One must safely support the patient, while at the same time provide the surgeon with a bloodless field in which to operate. Often, this requires cessation of the circulation for varying amounts of time. Deep hypothermia allows for an extension of the arrest period, while other techniques - retrograde cerebral perfusion and antegrade cerebral perfusion - provide an additional degree of cerebral protection. Recently, we utilized these techniques concurrently on a 43-year-old female who presented for a reoperation for a type I aortic dissection. Combining these techniques allowed us to adequately support the patient during an anticipated lengthy period of circulatory arrest and insured a successful operation without any adverse cerebral or other organ dysfunction.
ACCESSION #
3130660

 

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