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The Annals of Thoracic Surgery, Vol 48, 592-594, Copyright © 1989 by The Society of Thoracic Surgeons

ARTICLES

Visceral and limb perfusion during thoracoabdominal aortic aneurysm repair

GT Christakis, A Panos, CM Peniston, SV Lichtenstein and TA Salerno
Division of Cardiovascular Surgery, St. Michael's Hospital, Toronto, Ontario, 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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Copyright © 1989 by The Society of Thoracic Surgeons.