[Surgery for thoracic aortic aneurysm by retrograde total body perfusion and deep hypothermia].
We performed retrograde total body perfusion and deep hypothermia for DeBakey III aortic dissection and aneurysm of the distal arch. We could operate with only posterolateral skin incision using a long venous cannula, which is originally a part of percutaneous cardiopulmonary support (PCPS). The duration of retrograde total body perfusion was 31-101 minutes, the perfusion volume 0.6-1.4 L/min, the central venous pressure 5-16 mmHg. All five cases were successfully operated. As a postoperative cerebral accident, one case showed transient dysfunction. There was no postoperative liver and renal dysfunction. The perfusion volume was maintained in 2.5-3.0 L/min during ventricular fibrillation, which is occurred in cooling and rewarming process. So, this long venous cannula worked well to assist circulation. We think retrograde total body perfusion is a useful assisting device for DeBakey III aortic dissection and aneurysm of the distal arch.
Hayashi
S
S
Department of Cardiovascular Surgery, Hiroshima General Hospital, Japan.
Kawaue
Y
Y
D000368:Aged; D000784:Aortic Dissection / Q000601:surgery; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D006801:Humans; D007036:Hypothermia, Induced / Q000379:methods; D008297:Male; D008875:Middle Aged; D010477:Perfusion / Q000379:methods