Replacement of ascending and proximal transverse aorta for a 90-year-old female with aortic dissection

Successful replacement of ascending and proximal transverse aorta for a 90-year-old female with aortic dissection was achieved using selective cerebral perfusion with cold blood. The ascending aorta enlarged as a diameter of 7 cm and massive blood flow was recognized in the false lumen detected by C...

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Bibliographic Details
Published inKyobu geka. The Japanese journal of thoracic surgery Vol. 47; no. 1; p. 75
Main Authors Yoshida, T, Adachi, H, Ino, T, Ide, H, Mizuhara, A, Yamaguchi, A, Kawahito, K
Format Journal Article
LanguageJapanese
Published Japan 01.01.1994
Subjects
Aged
Aged, 80 and over
Aneurysm, Dissecting - surgery
Aorta - surgery
Aorta, Thoracic
Aortic Aneurysm, Thoracic - surgery
Blood Vessel Prosthesis
Female
Humans
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Summary:Successful replacement of ascending and proximal transverse aorta for a 90-year-old female with aortic dissection was achieved using selective cerebral perfusion with cold blood. The ascending aorta enlarged as a diameter of 7 cm and massive blood flow was recognized in the false lumen detected by CT scanning and echocardiography. After the core cooling by cardiopulmonary bypass (CPB), the branches of the aortic arch were cannulated and perfused with cold blood (16 degrees C) for cerebral protection. The time of CPB, cardiac arrest and selective cerebral perfusion was 153 min, 92 min and 35 min, respectively. Post operative course was uneventful. She discharged from the hospital 4 weeks after the operation.
ISSN:0021-5252