|
|
||||||||
The Annals of Thoracic Surgery, Vol 54, 932-936, Copyright © 1992 by The Society of Thoracic Surgeons
DA Cooley and RT Baldwin
Ischemic injury to the spinal cord and kidneys continues to be the major
complication after resection of aneurysms involving the descending and
proximal abdominal aorta. Our recent surgical experience with use of only a
proximal clamp on the aorta to perform an "open" distal anastomosis has
proved this technique to be safe and expeditious. We therefore compared our
results using the technique of open distal anastomosis for aneurysm repair
with those of the conventional two-clamp technique. Since January 1989, we
have used the conventional two-clamp technique in 31 patients (group 1) and
the technique of open distal anastomosis in 24 patients (group 2). No
significant differences were noted between the two groups in terms of age,
sex, cause of aneurysm, extent of aneurysm, or site of proximal
cross-clamp. The average distal ischemic time was 31 minutes in group 1
patients and 26 minutes in group 2 patients. Renal insufficiency occurred
in 8 of 31 patients in group 1 and in 0 of 24 patients in group 2 (p =
0.01). Neurologic complications occurred in 4 patients in group 1 and in 1
patient in group 2. Early mortality rates were similar for both groups (4
of 31 [13%], group 1; 4 of 24 [17%], group 2). Deaths were attributed to
multiorgan failure and sepsis in 6 patients and coexisting coronary artery
disease in 2 patients. Based on these results, we believe the technique of
open distal anastomosis is safe and may improve the outcome in patients
undergoing operation for descending thoracic aneurysms.(ABSTRACT TRUNCATED
AT 250 WORDS)
ARTICLES
Technique of open distal anastomosis for repair of descending thoracic aortic aneurysms
Department of Cardiovascular Surgery, Texas Heart Institute, Houston 77225.
This article has been cited by other articles:
![]() |
L. Lang-Lazdunski, J. Bachet, and C. Rogers Repair of the descending thoracic aorta: impact of open distal anastomosis technique on spinal cord perfusion, neurological outcome and spinal cord histopathology Eur. J. Cardiothorac. Surg., August 1, 2004; 26(2): 351 - 358. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. L. Estrera, C. C. Miller III, T. T.T. Huynh, E. E. Porat, and H. J. Safi Replacement of the ascending and transverse aortic arch: determinants of long-term survival Ann. Thorac. Surg., October 1, 2002; 74(4): 1058 - 1065. [Abstract] [Full Text] [PDF] |
||||
![]() |
L.K. von Segesser, B. Marty, X. Mueller, P. Ruchat, P. Gersbach, F. Stumpe, and A. Fischer Active cooling during open repair of thoraco-abdominal aortic aneurysms improves outcome Eur. J. Cardiothorac. Surg., April 1, 2001; 19(4): 411 - 416. [Abstract] [Full Text] [PDF] |
||||
![]() |
I. Y.P. Wan, G. D. Angelini, A. J. Bryan, I. Ryder, and M. J. Underwood Prevention of spinal cord ischaemia during descending thoracic and thoracoabdominal aortic surgery Eur. J. Cardiothorac. Surg., February 1, 2001; 19(2): 203 - 213. [Abstract] [Full Text] [PDF] |
||||
![]() |
D. A. Cooley, A. Golino, and O.H. Frazier Single-clamp technique for aneurysms of the descending thoracic aorta: report of 132 consecutive cases Eur. J. Cardiothorac. Surg., August 1, 2000; 18(2): 162 - 167. [Abstract] [Full Text] [PDF] |
||||
![]() |
D. A. Cooley Minimally invasive valve surgery versus the conventional approach Ann. Thorac. Surg., September 1, 1998; 66(3): 1101 - 1105. [Abstract] [Full Text] [PDF] |
||||
![]() |
L. G. Svensson, K. R. Hess, R. S. D'Agostino, M. H. Entrup, K. Hreib, W. A. Kimmel, E. Nadolny, and D. M. Shahian Reduction of neurologic injury after high-risk thoracoabdominal aortic operation Ann. Thorac. Surg., July 1, 1998; 66(1): 132 - 138. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. C. Galloway, D. S. Schwartz, A. T. Culliford, G. H. Ribakove, E. A. Grossi, R. A. Esposito, F. G. Baumann, J. Delianides, F. C. Spencer, and S. B. Colvin Selective Approach to Descending Thoracic Aortic Aneurysm Repair: A Ten-Year Experience Ann. Thorac. Surg., October 1, 1996; 62(4): 1152 - 1157. [Abstract] [Full Text] |
||||
![]() |
M. Kitamura, A. Hashimoto, O. Tagusari, T. Akimoto, S. Aomi, and H. Koyanagi Operation for Type B Aortic Dissection: Introduction of Left Heart Bypass Ann. Thorac. Surg., May 1, 1995; 59(5): 1200 - 1203. [Abstract] [Full Text] |
||||
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |