[A surgical treatment of transverse arch aneurysm: use of ballooned venous cannula for maintenance of lower half body perfusion].
At present, open distal anastomosis method is widely used for the treatment of aneurysm of the transverse aortic arch during replacement, because anastomosis can be performed under direct vision. However, no established procedure is available for maintaining lower half body perfusion while this procedure is being performed, and various procedures have been employed, e.g. temporary circulatory arrest, low flow perfusion from the femoral artery by use of an occlusion catheter, or retrograde systemic perfusion. Spinal cord injury, MNMS, rhabdomyolysis and other complications cannot be completely prevented even by the use of these procedures. From this point of view, we have been using a ballooned venous cannula to be inserted in to the descending aorta while performing open distal anastomosis in order to prevent these complications. This procedure has the advantage of permitting the surgeon to perform the operation without clamping of the artery, hence without the cessation of the systemic circulation of blood, and we believe that this method will prove effective in the surgical treatment of transverse aortic arch aneurysm.
Mashiko
K
K
Department of Cardiovascular Surgery, Fuji City Hospital, Shizuoka, Japan.
Okuyama
H
H
Oshiumi
M
M
Yoshitake
M
M
D000368:Aged; D000369:Aged, 80 and over; D000714:Anastomosis, Surgical / Q000379:methods; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D002404:Catheterization; D005112:Extracorporeal Circulation / Q000295:instrumentation*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000517:prevention & control; D012206:Rhabdomyolysis / Q000517:prevention & control; D013119:Spinal Cord Injuries / Q000517:prevention & control