A Clinical Experience on Cardiopulmonary Bypass in Large Artery Operation Involving in Aortic Arch
- VernacularTitle:累及主动脉弓部大血管手术的体外循环经验
- Author:
Shaoqiong LIU
;
Xinmin ZHOU
;
Jianguo HU
- Publication Type:Journal Article
- Keywords:
Aorta;
Operation;
Cardiopulmonary bypass;
Brain protection
- From:
Journal of Chinese Physician
2001;0(07):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the special technique and the brain protection method of cardiopulmonary bypass(CPB) in large artery operation involving in aortic arch. Methods The procedures of cardiopulmonary bypass and the clinical outcome of 52 patients, who received large artery operation involving in aortic arch, were analysed retrospectively. Results The conventional hypothermal cardiopulmonary bypass was performed as basic method in all patients, deep hypothermal circulatory arrest were used in 13 patients, deep hypothermal circulatory arrest plus retrograde cerebral perfusion in 12 cases, selective antegrade cerebral perfusion in 7 cases, and separate perfusion of upper and low body in 20 cases. The total mortality was 17 3%(9/52), and there were 3 patients with the various severitits of cerebral complications. The mean cardiopulmonary bypass time was (180 6?51 8)min and the mean aortic block time was(62 4?61 9)min. Conclusion During the large artery operations involving in aortic arch, in order to prolong the period of deep hypothermal circulatory arrest, improve the effects of brain and spinal protection and minimize operative complications, different perfusion techniques should be employed according to different artery lesions and operative approaches.
