REPLACEMENT OF ENTIRE AORTA FROM AORTIC-VALVE TO BIFURCATION DURING ONE OPERATION

被引:26
作者
SVENSSON, LG
SHAHIAN, DM
DAVIS, FG
ENTRUP, MH
KIMMEL, WA
MCGRATH, DM
JEWEL, ER
GRAY, AW
机构
[1] LAHEY CLIN MED CTR,DEPT THORAC & CARDIOVASC SURG,MARFAN SYNDROME CLIN,BURLINGTON,MA 01803
[2] LAHEY CLIN MED CTR,DEPT ANESTHESIA,BURLINGTON,MA 01803
[3] LAHEY CLIN MED CTR,DEPT VASC SURG,BURLINGTON,MA 01803
[4] LAHEY CLIN MED CTR,PULM & CRIT CARE MED SECT,BURLINGTON,MA 01803
关键词
D O I
10.1016/0003-4975(94)90480-4
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A 68-year-old patient presented with an extensive aortic aneurysm extending from the aortic valve to the aortic bifurcation associated with severe continuous pain, dysphagia, and hoarseness. Because of the risk of impending rupture and an ''elephant trunk'' procedure not being an option, the entire aorta from the aortic valve to the aortic bifurcation was replaced during one operation using deep hypothermia with circulatory arrest and retrograde perfusion of the brain through the jugular veins. Seven months after the operation the patient walks more than 3 km a day and Lives a normal life. The operative repair is presented.
引用
收藏
页码:1164 / 1166
页数:3
相关论文
共 9 条
[1]   HYPOTHERMIC REGIONAL PERFUSION FOR PROTECTION OF THE SPINAL-CORD DURING PERIODS OF ISCHEMIA [J].
COLON, R ;
FRAZIER, OH ;
COOLEY, DA ;
MCALLISTER, HA .
ANNALS OF THORACIC SURGERY, 1987, 43 (06) :639-643
[2]   DIFFUSE ANEURYSMAL DISEASE (CHRONIC AORTIC DISSECTION, MARFAN, AND MEGA AORTA SYNDROMES) AND MULTIPLE ANEURYSM - TREATMENT BY SUBTOTAL AND TOTAL AORTIC REPLACEMENT EMPHASIZING THE ELEPHANT TRUNK OPERATION [J].
CRAWFORD, ES ;
COSELLI, JS ;
SVENSSON, LG ;
SAFI, HJ ;
HESS, KR .
ANNALS OF SURGERY, 1990, 211 (05) :521-537
[3]  
KOUCHOUKOS NT, 1990, J THORAC CARDIOV SUR, V99, P659
[4]   SIMULTANEOUS TOTAL AORTIC REPLACEMENT FROM VALVE TO BIFURCATION - EXPERIENCE WITH 21 CASES [J].
MASSIMO, CG ;
PRESENTI, LF ;
FAVI, PP ;
CRISCI, C ;
GUADRON, EAC .
ANNALS OF THORACIC SURGERY, 1993, 56 (05) :1110-1116
[5]  
MASSIMO CG, 1986, TEX HEART I J, V13, P147
[6]  
SVENSSON LG, 1991, J VASC SURG, V14, P271
[7]   DEEP HYPOTHERMIA WITH CIRCULATORY ARREST - DETERMINANTS OF STROKE AND EARLY MORTALITY IN 656 PATIENTS [J].
SVENSSON, LG ;
CRAWFORD, ES ;
HESS, KR ;
COSELLI, JS ;
RASKIN, S ;
SHENAQ, SA ;
SAFI, HJ .
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 1993, 106 (01) :19-31
[8]  
SVENSSON LG, 1993, CURR PROB SURG, V30, P1
[9]   RATIONALE AND TECHNIQUE FOR REPLACEMENT OF THE ASCENDING AORTA, ARCH, AND DISTAL AORTA USING A MODIFIED ELEPHANT TRUNK PROCEDURE [J].
SVENSSON, LG .
JOURNAL OF CARDIAC SURGERY, 1992, 7 (04) :301-312