The Thracoabdominal Aortic Replacement Using Deep Hypothermic Circulatory Arrest Technique.
- Author:
Kwang Jo CHO
1
;
Jong Su WOO
;
Jung Hee BANG
;
Si Ho KIM
;
Pil Jo CHOI
Author Information
1. Department of Thoracic &Cardiovascular Sugery, College of Medicine, Dong A University, Korea. gjcho@donga.ac.kr
- Publication Type:Original Article
- Keywords:
Aorta, surgery;
Aorta, thoracoabdominal;
Total circulatory arrest, induced
- MeSH:
Abdominal Cavity;
Aneurysm;
Aneurysm, Ruptured;
Circulatory Arrest, Deep Hypothermia Induced*;
Classification;
Humans;
Mortality;
Pleural Cavity
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2006;39(3):194-200
- CountryRepublic of Korea
- Language:Korean
-
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.
