Profound Hypothermia and Circulatory Arrest for Adult PDA Surgery: Case report.
- Author:
Seung Hun BAEK
1
;
Sang Wook SHIN
;
Hae Kyu KIM
;
Seong Wan BAIK
;
Inn Se KIM
;
Kyoo Sub CHUNG
Author Information
1. Department of Anesthesiology, College of Medicine, Pusan National University, Pusan, Korea.
- Publication Type:Case Report
- Keywords:
Anatomy;
adult PDA;
Anesthetic technique;
circulatory arrest;
profound hypothermia
- MeSH:
Adult*;
Aorta;
Barbiturates;
Brain;
Calcium Channel Blockers;
Cardiopulmonary Bypass;
Ductus Arteriosus, Patent;
Female;
Humans;
Hypothermia*;
Ischemia;
Ligation;
Pulmonary Artery;
Steroids;
Thoracic Surgery
- From:The Korean Journal of Critical Care Medicine
1997;12(2):187-191
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Correction of a calcified patent ductus arteriosus (PDA) is a difficult surgical procedure. Simple ligation or division of PDA is not possible if diffuse circumferential calcification is present. Several techniques using cardiopulmonary bypass and closure of PDA from within the aorta or pulmonary artery have been introduced. And the surgical procedure is performed under profound hypothermia and circulatory arrest. Total ischemia time should be less than 30 minutes, which is free from the organ damage by the circulatory arrest. Barbiturates, calcium channel blockers and steroids are used for brain protection. We experienced successful use of these techniques for adult female patch closure of PDA and reviewed the anesthetic considerations of the profound hypothermia and circulatory arrest for cardiac surgery.
