Transapical aortic perfusion using a deep hypothermic procedure to prevent dissecting lung injury during re-do thoracoabdominal aortic aneurysm surgery.

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  • Additional Information
    • Source:
      Publisher: BioMed Central Country of Publication: England NLM ID: 101265113 Publication Model: Electronic Cited Medium: Internet ISSN: 1749-8090 (Electronic) Linking ISSN: 17498090 NLM ISO Abbreviation: J Cardiothorac Surg Subsets: MEDLINE
    • Publication Information:
      Original Publication: [London] : BioMed Central, 2006-
    • Subject Terms:
      Acute Lung Injury/*prevention & control ; Aortic Dissection/*surgery ; Aorta, Thoracic/*surgery ; Aortic Aneurysm, Thoracic/*surgery ; Blood Vessel Prosthesis Implantation/*methods ; Hypothermia, Induced/*methods ; Perfusion/*methods; Aortic Dissection/diagnosis ; Aortic Aneurysm, Thoracic/diagnosis ; Computed Tomography Angiography ; Humans ; Imaging, Three-Dimensional ; Intraoperative Period ; Male ; Middle Aged
    • Abstract:
      Background: Avoiding various complications is a challenge during re-do thoracoabdominal aneurysm surgery.
      Case Presentation: A 56-year-old man had undergone surgery for type I aortic dissection four times. The residual thoracoabdominal aortic aneurysm that had severe adhesions to lung parenchyma was resected. Since the proximal anastomotic site was buried in lung parenchyma, deep hypothermia was essential to avoid lung dissection and to protect the spinal cord during the proximal anastomosis. The deep hypothermia was induced with bilateral infusion of cardiopulmonary bypass by femoral artery cannulation for the lower body and by transapical cannulation for the upper body because of easy access. There was no hemorrhagic tendency after deep hypothermic bypass. The patient was discharged uneventfully.
      Conclusions: For upper body perfusion, transapical aortic cannulation was a simple and effective procedure during left thoracotomy.
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    • Contributed Indexing:
      Keywords: Hypothermia; Lung injury; Thoracoabdominal aortic aneurysm; Transapical aortic perfusion
    • Publication Date:
      Date Created: 20170521 Date Completed: 20170919 Latest Revision: 20221207
    • Publication Date:
      20231215
    • Accession Number:
      PMC5437642
    • Accession Number:
      10.1186/s13019-017-0601-9
    • Accession Number:
      28526092