[Surgical strategy for acute type A aortic dissection with cerebral ischemia due to acute occlusion of aortic arch branches].
Kyobu Geka
; 60(4): 292-5, 2007 Apr.
Article
em Ja
| MEDLINE
| ID: mdl-17416095
ABSTRACT
In the treatment of acute type A aortic dissection, it is important to cope effectively with cerebral ischemia due to preoperative acute occlusion of arch branches and intraoperative cerebral malperfusion under extracorporeal circulation. The validity of our surgical strategy for such cases was evaluated. Our surgical strategies are as follow; for cases with preoperative cerebral infarction and disturbance of consciousness total aortic arch replacement is performed after the improvement of brain edema, and for cases of transient cerebral ischemia, emergency operation is performed. In the emergency operation, selective cerebral perfusion through the carotid artery of the diseased side is initiated as soon as possible. In conclusion, our surgical strategy for acute type A aortic dissection with cerebral ischemia due to acute occlusion of aortic arch branches is acceptable. There was no significant difference between the cerebral ischemia group and the control group concerning hospital mortality, cerebral complication and the 5-year survival rate.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Aorta Torácica
/
Aneurisma Aórtico
/
Doenças da Aorta
/
Arteriopatias Oclusivas
/
Isquemia Encefálica
/
Dissecção Aórtica
Tipo de estudo:
Etiology_studies
Limite:
Aged
/
Humans
/
Male
/
Middle aged
Idioma:
Ja
Revista:
Kyobu Geka
Ano de publicação:
2007
Tipo de documento:
Article
País de afiliação:
Japão