Selective cerebral perfusion with 4-branch graft total aortic arch replacement: Outcomes in 12 patients
<p>Abstract</p> <p>Background</p> <p>Aortic arch reconstruction is associated with high neurological morbidity. Our purpose is to describe our experience using a 4-branched graft and selective antegrade brain perfusion (SABP) for total aortic arch replacement (TAR).<...
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| Format: | Article |
| Language: | English |
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BMC
2012-04-01
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| Series: | Journal of Cardiothoracic Surgery |
| Subjects: | |
| Online Access: | http://www.cardiothoracicsurgery.org/content/7/1/32 |
| _version_ | 1818147321161973760 |
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| author | Lai Wei-Liang Hsu Chiao-Po Shih Chung-Che Li Ming-Li Li Ping-chun |
| author_facet | Lai Wei-Liang Hsu Chiao-Po Shih Chung-Che Li Ming-Li Li Ping-chun |
| author_sort | Lai Wei-Liang |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>Aortic arch reconstruction is associated with high neurological morbidity. Our purpose is to describe our experience using a 4-branched graft and selective antegrade brain perfusion (SABP) for total aortic arch replacement (TAR).</p> <p>Methods</p> <p>We retrospectively reviewed the medical records of 12 patients who received TAR, with or without ascending aorta replacement, with a 4-branched graft for Stanford type A dissection (<it>n </it>= 9) or aortic arch aneurysm (<it>n </it>= 3). In all patients surgery was performed with deep hypothermic circulatory arrest (DHCA) with or without retrograde brain perfusion, and selective antegrade brain perfusion (SABP) via the subclavian artery or axillary artery.</p> <p>Results</p> <p>There were 8 males and 4 females with an average age of 63.14 years. Emergent operations were performed in 9 patients with acute type A aortic dissections. Of all 12 patients, 2 deaths occurred and 1 patient experienced lower extremity paraplegia resulting in an in-hospital mortality rate of 16.6% and a permanent neurological deficit rate of 8.3%.</p> <p>Conclusions</p> <p>The use of a 4-branched graft, hypothermic circulatory arrest, and SABP is a useful operative method for aortic arch replacement with acceptable morbidity and mortality.</p> |
| first_indexed | 2024-12-11T12:33:23Z |
| format | Article |
| id | doaj.art-2ed3d9fc7e5c427b8a7ec730e4ca1ab4 |
| institution | Directory Open Access Journal |
| issn | 1749-8090 |
| language | English |
| last_indexed | 2024-12-11T12:33:23Z |
| publishDate | 2012-04-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Cardiothoracic Surgery |
| spelling | doaj.art-2ed3d9fc7e5c427b8a7ec730e4ca1ab42022-12-22T01:07:11ZengBMCJournal of Cardiothoracic Surgery1749-80902012-04-01713210.1186/1749-8090-7-32Selective cerebral perfusion with 4-branch graft total aortic arch replacement: Outcomes in 12 patientsLai Wei-LiangHsu Chiao-PoShih Chung-CheLi Ming-LiLi Ping-chun<p>Abstract</p> <p>Background</p> <p>Aortic arch reconstruction is associated with high neurological morbidity. Our purpose is to describe our experience using a 4-branched graft and selective antegrade brain perfusion (SABP) for total aortic arch replacement (TAR).</p> <p>Methods</p> <p>We retrospectively reviewed the medical records of 12 patients who received TAR, with or without ascending aorta replacement, with a 4-branched graft for Stanford type A dissection (<it>n </it>= 9) or aortic arch aneurysm (<it>n </it>= 3). In all patients surgery was performed with deep hypothermic circulatory arrest (DHCA) with or without retrograde brain perfusion, and selective antegrade brain perfusion (SABP) via the subclavian artery or axillary artery.</p> <p>Results</p> <p>There were 8 males and 4 females with an average age of 63.14 years. Emergent operations were performed in 9 patients with acute type A aortic dissections. Of all 12 patients, 2 deaths occurred and 1 patient experienced lower extremity paraplegia resulting in an in-hospital mortality rate of 16.6% and a permanent neurological deficit rate of 8.3%.</p> <p>Conclusions</p> <p>The use of a 4-branched graft, hypothermic circulatory arrest, and SABP is a useful operative method for aortic arch replacement with acceptable morbidity and mortality.</p>http://www.cardiothoracicsurgery.org/content/7/1/32Aortic arch aneurysmType A aortic dissectionBranched aortic graft |
| spellingShingle | Lai Wei-Liang Hsu Chiao-Po Shih Chung-Che Li Ming-Li Li Ping-chun Selective cerebral perfusion with 4-branch graft total aortic arch replacement: Outcomes in 12 patients Journal of Cardiothoracic Surgery Aortic arch aneurysm Type A aortic dissection Branched aortic graft |
| title | Selective cerebral perfusion with 4-branch graft total aortic arch replacement: Outcomes in 12 patients |
| title_full | Selective cerebral perfusion with 4-branch graft total aortic arch replacement: Outcomes in 12 patients |
| title_fullStr | Selective cerebral perfusion with 4-branch graft total aortic arch replacement: Outcomes in 12 patients |
| title_full_unstemmed | Selective cerebral perfusion with 4-branch graft total aortic arch replacement: Outcomes in 12 patients |
| title_short | Selective cerebral perfusion with 4-branch graft total aortic arch replacement: Outcomes in 12 patients |
| title_sort | selective cerebral perfusion with 4 branch graft total aortic arch replacement outcomes in 12 patients |
| topic | Aortic arch aneurysm Type A aortic dissection Branched aortic graft |
| url | http://www.cardiothoracicsurgery.org/content/7/1/32 |
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