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George T. Christakis
Anthony Panos
Charles M. Peniston
Samuel V. Lichtenstein
Tomas A. Salerno
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Ann Thorac Surg 1989;48:592-594
© 1989 The Society of Thoracic Surgeons

Articles

Visceral and Limb Perfusion During Thoracoabdominal Aortic Aneurysm Repair

George T. Christakis, MD, Anthony Panos, MD, Charles M. Peniston, MD, Samuel V. Lichtenstein, MD, Tomas A. Salerno, MD*

Division of Cardiovascular Surgery, St. Michael's Hospital and the University of Toronto, Toronto, Ontario, Canada

Accepted for publication June 5, 1989.

* Address reprint requests to Dr Salerno, 305B, St. Michael's Hospital, 30 Bond St, Toronto, Ont, M5B 1W8, Canada

Patients undergoing thoracoabdominal aortic aneurysm repair are at high risk of operative morbidity and death. Aortic clamping and unclamping stresses the myocardium, interrupts visceral and limb perfusion, and leads to metabolic acidosis. Use of a simple technique to preserve distal perfusion during the period of aortic clamping may reduce perioperative morbidity. We describe a technique of visceral and limb perfusion that may reduce surgical risk in high-risk patients.






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