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The Thracoabdominal Aortic Replacement Using Deep Hypothermic Circulatory Arrest Technique  

Woo, Jong-Su (Department of Thoracic & Cardiovascular Surgery, College of Medicine, Dong A University)
Bang, Jung-Hee (Department of Thoracic & Cardiovascular Surgery, College of Medicine, Dong A University)
Kim, Si-Ho (Department of Thoracic & Cardiovascular Surgery, College of Medicine, Dong A University)
Choi, Pil-Jo (Department of Thoracic & Cardiovascular Surgery, College of Medicine, Dong A University)
Cho, Kwang-Jo (Department of Thoracic & Cardiovascular Surgery, College of Medicine, Dong A University)
Publication Information
Journal of Chest Surgery / v.39, no.3, 2006 , pp. 194-200 More about this Journal
Abstract
Background: Thoracoabdominal aortic replacement is an extensive operation that opens both the pleural cavity and abdominal cavity, which has high mortality and morbidity rate. The authors have reported 9 cases of the thoracoabdominal aortic replacement in 2001. Since 2003 we have applied the deep hypothermic circulatory arrest to the Crawford type I and II thoracoabdominal aortic replacement. Therefore, we analysed the effect of the changes in operative techniques. Material and Method: Between 1996 and 2005, we have performed 20 cases of thoracoabdominal aortic replacement. The underlying diseases were 8 cases of atherosclerotic aneurysm with 4 cases of ruptured aneurysm and 12 cases of aortic dissection with 10 cases of a previous operations. According to Crawford classification, there were 2 cases of type I, 7 cases of type II, 1 case of type III, 7 cases of type IV, and 3 cases of type V. We compaired the results of the patients who underwent thoracoabdmoninal replacement before 2001 which already has been reported and after then. Result: Before 2001 we have performed 9 cases of thoracoabdominal replacement and 5 patients were died of the operation. All three patients with type I and II were died. There was no case of thoracoabdominal replacement between 2001 and 2002, but after 2003 we have performed 11 cases of thoracoabdominal replacement which involved 1 case of type I, 5 cases of type II, 1 case of type III, 2 cases of type IV and 2 cases of type V. There was no mortality and no fetal complications. Conclusion: The deep hypothermic circulatory arrest is a safe method of extended thoracoabdominal aortic replacement.
Keywords
Aorta surgery; Aorta thoracoabdominal; Total circulatory arrest induced;
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