title: Normothermic total arch replacement without hypothermic circulatory arrest to treat aortic distal arch aneurysm in a patient with cold agglutinin disease.
abstract: Cold agglutinin disease although rare, can lead to serious complications for patients undergoing cardio-thoracic surgery, especially when cardiopulmonary bypass is applied under hypothermic circulatory arrest. We describe normothermic total arch replacement without hypothermic circulatory arrest in a patient with cold agglutinin disease. The patient tolerated all procedures well and did not develop cerebral ischemia due to surgical maneuvers or thrombotic or haemolytic complications due to cold agglutinin disease. Although endovascular aortic repair is the first choice under such complex conditions, this method could also serve as an alternative strategy when endovascular aortic repair is precluded.
authors.affiliation: Department of General and Cardiothoracic Surgery, Graduate School of Medicine, Gifu University, Gifu, Japan. alpineskierjp@aol.com
authors.forename: Narihiro
authors.initials: N
authors.lastname: Ishida
authors.forename: Hirofumi
authors.initials: H
authors.lastname: Takemura
authors.forename: Katsuya
authors.initials: K
authors.lastname: Shimabukuro
authors.forename: Yukihiro
authors.initials: Y
authors.lastname: Matsuno
mesh_terms: D000368:Aged; D000744:Anemia, Hemolytic, Autoimmune / Q000150:complications*; D017545:Aortic Aneurysm, Thoracic / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography / Q000379:methods; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects; D050792:Circulatory Arrest, Deep Hypothermia Induced; D000075202:Contraindications; D006801:Humans; D008297:Male; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome