The efficacy of non-clamping selective cerebral perfusion in distal aortic arch aneurysm repair: report of a case.
Successful repair of a distal aortic arch aneurysm without aortic cross-clamping was carried out in a 74-year-old man, using a combination of special separate cerebral perfusion and retrograde coronary perfusion, termed non-clamping selective cerebral perfusion. We believe that satisfactory results following aortic arch surgery in elderly patients can only be achieved through the prevention of emboli derived from an aortic cross-clamping site, and shortened ischemic time of the vital organs.
Division of Cardiovascular Surgery, Hyogo Brain and Heart Center, Japan.
K
K
Okada
K
K
Ogawa
T
T
Asada
N
N
Mukohara
M
M
Nishiwaki
T
T
Higami
T
T
Sugimoto
D000368:Aged; D017545:Aortic Aneurysm, Thoracic / Q000503:physiopathology / Q000601:surgery*; D002315:Cardiopulmonary Bypass / Q000379:methods*; D002560:Cerebrovascular Circulation; D003326:Coronary Circulation; D004617:Embolism / Q000517:prevention & control; D006801:Humans; D008297:Male; D010477:Perfusion / Q000379:methods; D011183:Postoperative Complications / Q000517:prevention & control