ICU controlled delay for acute type A aortic dissection repair after intervention for total visceral malperfusion: A way out of a dilemma?

被引:11
作者
Tsagakis, K. [1 ]
Pizanis, N. [1 ]
Kamler, M. [1 ]
Konorza, T. [2 ]
Zoepf, T. [3 ]
Erbel, R. [2 ]
Jakob, H. [1 ]
机构
[1] Univ Hosp, W German Heart Ctr Essen, Dept Thorac & Cardiovasc Surg, D-45122 Essen, Germany
[2] Univ Hosp, W German Heart Ctr Essen, Dept Cardiol, D-45122 Essen, Germany
[3] Univ Hosp, Dept Gastroenterol & Hepatol, D-45122 Essen, Germany
关键词
aortic disease; cardiovascular surgery; thoracic surgery;
D O I
10.1055/s-2008-1038512
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Despite immediate surgical repair of the entry site ill acute thoracic aortic dissection with visceral malperfusion, the results are poor. Primary restitution of visceral flow by intervention might be one way to cope with this problem, but probably Causes ischemia/reperfusion associated problems after prolonged complete visceral ischemia. In this report, we demonstrate a Successful attempt of controlled delay of thoracic aortic surgical repair after visceral flow restitution with stable hemodynamics.
引用
收藏
页码:298 / 300
页数:3
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