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Ann Thorac Surg 1985;39:412-417
© 1985 The Society of Thoracic Surgeons

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Articles

Management of Aortic Arch Aneurysm Using Profound Hypothermia and Circulatory Arrest

From the Washington Hospital Center; Washington, DC

Accepted for publication September 11, 1984.

^* Address reprint requests to Dr. Qazi, 1706 New Hampshire Ave, NW, Washington, DC 20009

The cases of 9 patients with aneurysms involving the aortic arch, repaired under profound hypothermia (average, 15.5°C) and circulatory arrest, are presented. Five patients underwent elective operation and 4, emergency operation. Arch resection and graft replacement were done in 7 patients. Two patients with infected pseudoaneurysms of the aortic arch received patch grafts. There were 2 deaths (22%) from coagulopathy and decerebration. Seven patients are alive and well 18 to 45 months following repair. The combination of profound hypothermia and circulatory arrest appears to be a promising solution to a difficult problem.

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