Spinal cord protection using hypothermic cardiocirculatory arrest in extended repair of recoarctation and persistent hypoplastic aortic arch

Lange, Rüediger; Thielmann, M.; Schmidt, Karl‐Hermann; Bauernschmitt, Robert; Jakob, H; Hasper, B.; Ulmer, Herbert E.; Hagl, S

doi:10.1016/s1010-7940(96)01114-1

Cited by 18 publications

(9 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Spinal cord complications can be devastating after CoA repair in older patients who are thought to have inadequate collaterals . Partial left heart CPB or CPB with circulatory arrest is helpful to prevent paraplegia. Currently, a partial left heart bypass through a left thoracotomy is also required for urgent device retrieval after embolization of percutaneous implanted devices in the descending aorta .…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Cardiopulmonary Bypass through a Left Thoracotomy Using Venous Drainage from the Innominate Vein in Congenital Heart Surgery

et al. 2013

View full text Add to dashboard Cite

Cardiopulmonary bypass (CPB) through a left lateral thoracotomy is a useful approach for some congenital heart procedures, although vascular access for the arterial and venous cannulation can be challenging in the selective patients. Six patients underwent successful extracorporeal circulation through a left lateral thoracotomy using the innominate vein for venous drainage. No operative deaths or major complications occurred. Venous drainage solely from the innominate vein was adequate to establish partial bypass without the need for pericardiotomy. Total bypass was established with combined venous drainage from the innominate vein and the main pulmonary artery. Exposure of the systemic atrioventricular valve was excellent through a left thoracotomy. Venous drainage from the innominate vein without using atrial drainage can safely be used for extracorporeal circulation through a left lateral thoracotomy without compromising the procedure and it is a useful approach to congenital heart surgery in selected patients.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Wong et al used a left heart bypass with a centrifugal pump cannulating the left pulmonary vein and the descending aorta distal to the coarctation. Lange et al reported using CPB and hypothermic circulatory arrest to repair a re‐coarctation. Circulatory arrest is not usually required for most patients with CoA or recurrent CoA.…”

Section: Discussionmentioning

confidence: 99%

Cardiopulmonary Bypass through a Left Thoracotomy Using Venous Drainage from the Innominate Vein in Congenital Heart Surgery

et al. 2013

View full text Add to dashboard Cite

show abstract

“…Aortic repair is usually demanding, which increases the risk of bleeding and paraplegia. Therefore, deep hypothermic circulatory arrest may be advocated [4]. In this setting, extra-anatomic bypass is a reasonable option in order to lessen surgical risk, eventually permitting simultaneous treatment of cardiac problems and to promote a sustained long-term distal aortic perfusion [5].…”

Section: Discussionmentioning

confidence: 99%

Involução de artérias colaterais aneurismáticas após a correção da coarctação da aorta

Corso¹,

Atik²,

Faber³

et al. 2008

Rev Bras Cir Cardiovasc

View full text Add to dashboard Cite

Involução de artérias colaterais aneurismáticas após a correção da coarctação da aortaInvolution of aneurysmal collateral arteries after correction of aortic coarctation Abstract A 47 year-old man with coarctation of the aorta had undergone extra-anatomic bypass through a left thoracotomy. He presented 10 years later with uncontrolled hypertension due to residual coarctation, graft obstruction and multiple aneurysmal subclavian to aortic collateral arteries. He was submitted to an ascending aorta to descending aorta bypass through a median sternotomy with the aid of standard cardiopulmonary bypass. His postoperative recovery was unremarkable, and there was complete involution of all aneurysmal collateral arteries after the operation.Descriptors: Aorta, coarctation/surgery. Heart defects, congenital. Collateral circulation. ResumoPaciente de 47 anos de idade, com diagnóstico de coarctação da aorta, foi submetido ao implante de tubo extra-anatômico por toracotomia esquerda. Dez anos após o procedimento, o paciente retorna com hipertensão arterial de difícil controle relacionada a coarctação da aorta residual, obstrução do tubo e múltiplos aneurismas de artérias colaterais entre a artéria subclávia e a aorta. O paciente foi submetido então a correção extra-anatômica entre a aorta ascendente e a descendente por esternotomia mediana, com auxílio de circulação extracorpórea convencional. Sua recuperação pós-operatória foi boa, e houve involução completa de todas as artérias colaterais aneurismáticas após a operação.Descritores: Coartação aórtica/cirurgia. Cardiopatias congênitas. Circulação colateral.Fundação Zerbini Estrada Parque Contorno do Bosque s/n, 1 andar, sala 13 -Brasília, DF -Brasil -CEP 70658-700.

show abstract

“…The safety limit for aortic occlusion in the presence of distal hypotension is around 20 minutes. 19 As a result, a predicted long cross-clamp time in complex aortic reconstruction elevates the potential need for cardiopulmonary bypass. In our study, the mean aortic cross-clamp time was 41.3 6 17.1 minutes (range, 16-64 minutes).…”

Section: Indications To Use Cardiopulmonary Bypass In Aortic Coarctatmentioning

confidence: 99%

Results of using cardiopulmonary bypass for spinal cord protection during surgical repair of complex aortic coarctation

et al. 2013

View full text Add to dashboard Cite

show abstract

Spinal cord protection using hypothermic cardiocirculatory arrest in extended repair of recoarctation and persistent hypoplastic aortic arch

Abstract: The use of hypothermic cardiocirculatory arrest in this special indication is a safe method which allows open reconstruction of the coarctation site and the aortic arch and protection of the spinal cord. The need for early reoperation because of inadequate repair may be reduced.

Cited by 18 publications

References 30 publications

Cardiopulmonary Bypass through a Left Thoracotomy Using Venous Drainage from the Innominate Vein in Congenital Heart Surgery

Cardiopulmonary Bypass through a Left Thoracotomy Using Venous Drainage from the Innominate Vein in Congenital Heart Surgery

Involução de artérias colaterais aneurismáticas após a correção da coarctação da aorta

Results of using cardiopulmonary bypass for spinal cord protection during surgical repair of complex aortic coarctation

Contact Info

Product

Resources

About