Surgery of the descending thoracic aorta: Spinal cord protection with the gott shunt

Verdant, A

doi:10.1016/0003-4975(95)00172-h

Cited by 14 publications

(12 citation statements)

References 3 publications

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“…The respective paralysis rates were 2.4%, 1.7%, 11.1%, and 19.2%, respectively. The key factor in open repairs has been to keep the total aorta cross-clamp time to as short a period as possible, especially less than 45 minutes (3,359,(361)(362)(363)(364).…”

Section: Treatment For the Management Of Traumatic Aortic Rupturementioning

confidence: 99%

2010 ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM Guidelines for the Diagnosis and Management of Patients With Thoracic Aortic Disease

Hiratzka¹,

Bakris²,

Beckman³

et al. 2010

Journal of the American College of Cardiology

1,311

411

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Section: Treatment For the Management Of Traumatic Aortic Rupturementioning

confidence: 99%

2010 ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM Guidelines for the Diagnosis and Management of Patients With Thoracic Aortic Disease

Hiratzka¹,

Bakris²,

Beckman³

et al. 2010

Journal of the American College of Cardiology

1,311

411

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“…Femoral arterial monitoring, as with all of these techniques, is recommended. 102 The Gott offers no left ventricular unloading or loading advantage that partial bypass systems do, and therefore, blood pressure control is left to pharmacology alone.…”

Section: Conventional Open Descending Thoracic Aortic Reconstructionmentioning

confidence: 99%

“…Ventricular cannulation had been used in the past; however, it was abandoned because of a high rate of ventricular dysrhythmias, reduced shunt flows, and a higher rate of paraplegia. [100][101][102][103][104][105] The diameter of the shunt is obviously fixed, and therefore, flow is passive, unmonitored, and dependent on a pressure gradient. Femoral arterial monitoring, as with all of these techniques, is recommended.…”

Section: Conventional Open Descending Thoracic Aortic Reconstructionmentioning

confidence: 99%

Conventional Open Repair of Descending Thoracic Aortic Aneurysms

Gleason

Benjamin²

2007

Perspectives in Vascular Surgery and Endovascular Therapy

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Conventional open reconstruction of the descending thoracic aorta is a safe and effective therapy for the management of aneurysms and is the standard by which all other therapies should be compared. Advances in surgical techniques, circulation management, neurocerebral protection, anesthesia, and postoperative management have contributed to significant reductions in morbidity and mortality over the past 50 years. More recently, endovascular stent grafting has begun to supplant conventional open repair based on its ease of performance and a perception of reduced morbidity and mortality. In reality, when carefully compared, differences in primary outcomes (mortality, stroke rate, and paraplegia) between open repair and endovascular repair are not so clear, and the long-term durability of endovascular repairs is not yet known. Open descending thoracic aortic repair still has an important role in the management of descending thoracic aortic disease in the current era.

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“…Most studies are retrospective, performed on relatively small populations (8,9,10) or done over long time periods (11,12) or concentrated on one particular method of treatment (13,14,15,16). Thus, many questions and controversies persist with regard to the optimal methods of diagnosis and treatment of this pathology.…”

Section: Introductionmentioning

confidence: 96%

Traumatic Rupture of the Thoracic Aorta

Chiesa

Moura

Lucci

et al. 2003

Acta Chirurgica Belgica

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Traumatic rupture of the thoracic aorta is a life threatening situation, and may be secondary to several mechanisms; mainly penetrating or iatrogenic lesions and blunt trauma. Although penetrating mechanisms predominate, the number of patients with aortic disruption due to blunt trauma has continued to increase. This paper shows an overview focusing on the pathogenesis, diagnosis, timing and type of treatment regarding traumatic injuries of the thoracic aorta; it also reports the experience of one single center that deals with these lesions. The major difficulty in the evaluation data on blunt aortic injury is that retrospective reviews often group together patients with all types of aortic lesions, comparing outcomes for injuries in different locations, with diverse methods of repair and different surgeons and/or institutions.

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Surgery of the descending thoracic aorta: Spinal cord protection with the gott shunt

Cited by 14 publications

References 3 publications

2010 ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM Guidelines for the Diagnosis and Management of Patients With Thoracic Aortic Disease

2010 ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM Guidelines for the Diagnosis and Management of Patients With Thoracic Aortic Disease

Conventional Open Repair of Descending Thoracic Aortic Aneurysms

Traumatic Rupture of the Thoracic Aorta

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