Total arch replacement under normothermic beating heart surgery.
The authors propose a new method for total arch replacement under normothermic beating heart surgery. The surgical procedure was performed with no time limit. The cardiopulmonary bypass was terminated without using inotropic agents. The patient regained consciousness in postoperative hour 8 without any neurologic deficit. This new strategy avoids the potential devastating side-effects associated with deep hypothermic circulatory arrest and myocardial stunning.
Chang
Jui-Chih
JC
Division of Thoracic and Cardiovascular Surgery, Buddhist Tzu Chi General Hospital, Hualien, Taiwan.
Chao
Shen-Feng
SF
Chang
Bee-Song
BS
D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000601:surgery*; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D002545:Brain Ischemia / Q000517:prevention & control; D002315:Cardiopulmonary Bypass / Q000379:methods*; D006324:Heart Arrest, Induced; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000517:prevention & control; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome