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The Annals of Thoracic Surgery, Vol 39, 538-540, Copyright © 1985 by The Society of Thoracic Surgeons
H Hirose, Y Kawashima, R Shirakura, H Matsuda, S Nakano and S Adachi
A balloon catheter was utilized to occlude the distal aorta during
prosthetic replacement of an aortic arch aneurysm in 4 consecutive patients
under conditions of separate cerebral and peripheral perfusion and deep
hypothermia. All patients survived the procedure, and 3 were doing well 1
to 1.5 years following operation. One patient sustained a cerebral
infarction and recovered with some sequent disability. The use of a balloon
occlusion catheter allowed us to perform the operation through a median
sternotomy only, and eliminated the procedure of pulmonary dissection for
distal clamping and the risk of emboli. In addition, its use provided a
relatively bloodless field and sufficient protection for organs in the
lower body through adequate perfusion, even when their function was poor or
when the distal anastomosis was prolonged. We realized improved surgical
results in the treatment of aneurysms of the aortic arch.
ARTICLES
Use of the balloon catheter for distal occlusion of the aorta in prosthetic replacement of aortic arch aneurysms
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Y. Mori, H. Hirose, H. Takagi, Y. Umeda, Y. Fukumoto, K. Shimabukuro, and Y. Matsuno Aortic arch repair for Stanford type A aortic dissection with distal anastomosis to the proximal level of the distal aortic arch J. Thorac. Cardiovasc. Surg., August 1, 2003; 126(2): 415 - 419. [Abstract] [Full Text] [PDF] |
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H. Takagi, Y. Mori, H. Iwata, Y. Umeda, Y. Matsuno, and H. Hirose Aortic balloon occlusion catheter with perfusion lumen for protection of lower body during distal anastomosis in aortic arch repair J. Thorac. Cardiovasc. Surg., May 1, 2002; 123(5): 1006 - 1008. [Full Text] [PDF] |
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