| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Ann Thorac Surg 1994;57:904-911
© 1994 The Society of Thoracic Surgeons
Second Department of Surgery, Sapporo Medical University School of Medicine, Sapporo, Japan
Accepted for publication July 26, 1993.
* Address reprint requests to Dr Kazui, Second Department of Surgery, Sapporo Medical University School of Medicine, South 1, West 16, Chuo-ku, Sapporo, 060, Japan.
The surgical results observed in 80 patients with aneurysms of the aortic arch who underwent an operation between January 1986 and the end of August 1992 were analyzed by multivariate analysis to identify predictors of high operative risk. All operations were performed using a cardiopulmonary bypass technique, blood cardioplegia for myocardial protection, and selective cerebral perfusion to prevent cerebral ischemia during aortic arch repair. The overall early (30-day) mortality rate was 16.3%. A severe stroke occurred postoperatively in 1 patient (1.3%). The 5-year survival rate was 73% ± 5%, as determined by the Kaplan-Meier method. Multivariate analysis revealed that the presence of critical cardiopulmonary dysfunction preoperatively and the need for reoperation were significant independent predictors. Of the 63 (79%) patients who were free of these risks, only 3 (4.8%) died. The findings from the present study indicate that, currently, early mortality is relatively low for all patients who undergo operations for aneurysm of the aortic arch, unless they are in a critical condition preoperatively or unless they are undergoing a reoperation.
This article has been cited by other articles:
|
|
 |
|
  D. Pacini, L. Di Marco, A. Leone, R. Di Bartolomeo, G. Sodeck, L. Englberger, T. Carrel, and M. Czerny Antegrade selective cerebral perfusion and moderate hypothermia in aortic arch surgery: clinical outcomes in elderly patients Eur J Cardiothorac Surg, January 18, 2012; (2012) ezr304v1. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. Kaya, R. H. Heijmen, J. C. Kelder, M. A. Schepens, and W. J. Morshuis Stentless biological valved conduit for aortic root replacement: Initial experience with the Shelhigh BioConduit model NR-2000C J. Thorac. Cardiovasc. Surg., May 1, 2011; 141(5): 1157 - 1162. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Shihata, R. Mittal, A. Senthilselvan, D. Ross, A. Koshal, J. Mullen, and R. MacArthur Selective antegrade cerebral perfusion during aortic arch surgery confers survival and neuroprotective advantages J. Thorac. Cardiovasc. Surg., April 1, 2011; 141(4): 948 - 952. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 P. L. Haldenwang, J. T. Strauch, I. Amann, T. Klein, A. Sterner-Kock, H. Christ, and T. Wahlers Impact of Pump Flow Rate During Selective Cerebral Perfusion on Cerebral Hemodynamics and Metabolism Ann. Thorac. Surg., December 1, 2010; 90(6): 1975 - 1984. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. S. Bischoff, R. M. Brenner, J. Scheumann, C. A. Bodian, R. B. Griepp, S. L. Lansman, and D. Spielvogel Long-term outcome after aortic arch replacement with a trifurcated graft J. Thorac. Cardiovasc. Surg., December 1, 2010; 140(6_suppl): S71 - S76. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. L. Haldenwang, J. T. Strauch, K. Mullem, H. Reiter, O. Liakopoulos, J. H. Fischer, H. Christ, and T. Wahlers Effect of pressure management during hypothermic selective cerebral perfusion on cerebral hemodynamics and metabolism in pigs J. Thorac. Cardiovasc. Surg., June 1, 2010; 139(6): 1623 - 1631. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
N. Khaladj, M. Shrestha, S. Meck, S. Peterss, H. Kamiya, K. Kallenbach, M. Winterhalter, L. Hoy, A. Haverich, and C. Hagl Hypothermic circulatory arrest with selective antegrade cerebral perfusion in ascending aortic and aortic arch surgery: A risk factor analysis for adverse outcome in 501 patients. J. Thorac. Cardiovasc. Surg., April 1, 2008; 135(4): 908 - 914. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
F. Bakhtiary, S. Dogan, A. Zierer, O. Dzemali, F. Oezaslan, P. Therapidis, F. Detho, T. Wittlinger, S. Martens, P. Kleine, et al. Antegrade Cerebral Perfusion for Acute Type A Aortic Dissection in 120 Consecutive Patients Ann. Thorac. Surg., February 1, 2008; 85(2): 465 - 469. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. W. Hammon Extracorporeal Circulation: Perfusion System Card. Surg. Adult, January 1, 2008; 3(2008): 350 - 370. [Full Text]
|
|
|
|
|
|
A. Gega, J. A. Rizzo, M. H. Johnson, M. Tranquilli, E. A. Farkas, and J. A. Elefteriades Straight Deep Hypothermic Arrest: Experience in 394 Patients Supports Its Effectiveness as a Sole Means of Brain Preservation Ann. Thorac. Surg., September 1, 2007; 84(3): 759 - 767. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 T. Kazui Total arch replacement: technique of separate reimplantation of epi-aortic vessels MMCTS, January 1, 2007; 2007(0102): mmcts.2006.001925 - mmcts.2006.001925. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 B. Ji, L. Sun, J. Liu, M. Liu, G. Sun, G. Wang, Z. Liu, Z. Feng, and C. Long The application of a modified technique of SCP under DHCA during total aortic arch replacement combined with stented elephant trunk implantation Perfusion, September 1, 2006; 21(5): 255 - 258. [Abstract] [PDF]
|
|
|
|
|
|
K. Matsuura, H. Ogino, H. Matsuda, K. Minatoya, H. Sasaki, T. Yagihara, and S. Kitamura Multivariate analysis of predictors of late stroke after total aortic arch repair Eur J Cardiothorac Surg, September 1, 2005; 28(3): 473 - 477. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. T. Strauch, D. Spielvogel, A. Lauten, N. Zhang, S. Rinke, D. Weisz, C. A. Bodian, and R. B. Griepp Optimal temperature for selective cerebral perfusion J. Thorac. Cardiovasc. Surg., July 1, 2005; 130(1): 74 - 82. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. Mohammadi, N. Bonnet, P. Leprince, M. Kolsi, A. Rama, A. Pavie, and I. Gandjbakhch Reoperation for False Aneurysm of the Ascending Aorta After Its Prosthetic Replacement: Surgical Strategy Ann. Thorac. Surg., January 1, 2005; 79(1): 147 - 152. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Di Eusanio, A. Quarti, M. D. Pierri, and G. Di Eusanio Cannulation of the brachiocephalic trunk during surgery of the thoracic aorta: a simplified technique for antegrade cerebral perfusion Eur J Cardiothorac Surg, October 1, 2004; 26(4): 831 - 833. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. Hagl, N. Khaladj, S. Peterss, K. Hoeffler, M. Winterhalter, M. Karck, and A. Haverich Hypothermic circulatory arrest with and without cold selective antegrade cerebral perfusion: impact on neurological recovery and tissue metabolism in an acute porcine model Eur J Cardiothorac Surg, July 1, 2004; 26(1): 73 - 80. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Di Eusanio, M. A. A. M. Schepens, W. J. Morshuis, K. M. Dossche, T. Kazui, K. Ohkura, N. Washiyama, R. Di Bartolomeo, D. Pacini, and A. Pierangeli Separate grafts or en bloc anastomosis for arch vessels reimplantation to the aortic arch Ann. Thorac. Surg., June 1, 2004; 77(6): 2021 - 2028. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. T. Strauch, D. Spielvogel, P. L. Haldenwang, A. Lauten, N. Zhang, D. Weisz, C. A. Bodian, and R. B. Griepp Cerebral physiology and outcome after hypothermic circulatory arrest followed by selective cerebral perfusion Ann. Thorac. Surg., December 1, 2003; 76(6): 1972 - 1981. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. Gelsomino, G. Morocutti, R. Frassani, G. Masullo, P. Da Col, L. Spedicato, and U. Livi Long-term Results of Bentall Composite Aortic Root Replacement for Ascending Aortic Aneurysms and Dissections Chest, September 1, 2003; 124(3): 984 - 988. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. B. Griepp Cerebral protection during aortic arch surgery J. Thorac. Cardiovasc. Surg., March 1, 2003; 125(90030): S36 - 38. [Full Text] [PDF]
|
|
|
|
|
|
S. Gelsomino, R. Frassani, P. Da Col, G. Morocutti, G. Masullo, L. Spedicato, and U. Livi A long-term experience with the cabrol root replacement technique for the management of ascending aortic aneurysms and dissections Ann. Thorac. Surg., January 1, 2003; 75(1): 126 - 131. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
E. A. Hessel II and L. H. Edmunds Jr. Extracorporeal Circulation: Perfusion Systems Card. Surg. Adult, January 1, 2003; 2(2003): 317 - 338. [Full Text]
|
|
|
|
|
|
M. Di Eusanio, M. A. A. M. Schepens, W. J. Morshuis, R. Di Bartolomeo, A. Pierangeli, and K. M. Dossche Antegrade selective cerebral perfusion during operations on the thoracic aorta: Factors influencing survival and neurologic outcome in 413 patients J. Thorac. Cardiovasc. Surg., December 1, 2002; 124(6): 1080 - 1086. [Abstract] [Full Text]
|
|
|
|
|
|
N Colangelo, S Benussi, G Piazza, and O Alfieri A simplified technique for antegrade selective cerebral perfusion Perfusion, May 1, 2002; 17(3): 187 - 189. [Abstract] [PDF]
|
|
|
|
|
|
N. Uchida, H. Ishihara, M. Sakashita, M. Kanou, and T. Sumiyoshi Repair of the thoracic aorta by transaortic stent grafting (open stenting) Ann. Thorac. Surg., February 1, 2002; 73(2): 444 - 448. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Y. Takahara, Y. Sudo, K. Mogi, M. Nakayama, and M. Sakurai Total aortic arch grafting for acute type A dissection: analysis of residual false lumen Ann. Thorac. Surg., February 1, 2002; 73(2): 450 - 454. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. Hagl, M. A. Ergin, J. D. Galla, S. L. Lansman, J. N. McCullough, D. Spielvogel, P. Sfeir, C. A. Bodian, and R. B. Griepp Neurologic outcome after ascending aorta-aortic arch operations: Effect of brain protection technique in high-risk patients J. Thorac. Cardiovasc. Surg., June 1, 2001; 121(6): 1107 - 1121. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. B. Griepp Cerebral protection during aortic arch surgery J. Thorac. Cardiovasc. Surg., March 1, 2001; 121(3): 425 - 427. [Full Text] [PDF]
|
|
|
|
|
|
T. Kazui, N. Washiyama, B. A. H. Muhammad, H. Terada, K. Yamashita, and M. Takinami Improved results of atherosclerotic arch aneurysm operations with a refined technique J. Thorac. Cardiovasc. Surg., March 1, 2001; 121(3): 491 - 499. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Hirotani, T. Kameda, T. Kumamoto, and S. Shirota Results of a total aortic arch replacement for an acute aortic arch dissection J. Thorac. Cardiovasc. Surg., October 1, 2000; 120(4): 686 - 691. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. Takano, T. Sakakibara, R. Matsuwaka, T. Hori, N. Sakagoshi, and N. Shinohara The safety and usefulness of cool head-warm body perfusion in aortic surgery Eur J Cardiothorac Surg, September 1, 2000; 18(3): 262 - 269. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Kazui Invited commentary Ann. Thorac. Surg., July 1, 2000; 70(1): 15 - 16. [Full Text] [PDF]
|
|
|
|
|
|
K. M. Dossche, W. J. Morshuis, M. A. Schepens, and F. G. Waanders Bilateral antegrade selective cerebral perfusion during surgery on the proximal thoracic aorta Eur J Cardiothorac Surg, April 1, 2000; 17(4): 462 - 467. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Kazui, N. Washiyama, B. A. H. Muhammad, H. Terada, K. Yamashita, M. Takinami, and Y. Tamiya EXTENDED TOTAL ARCH REPLACEMENT FOR ACUTE TYPE A AORTIC DISSECTION: EXPERIENCE WITH SEVENTY PATIENTS J. Thorac. Cardiovasc. Surg., March 1, 2000; 119(3): 558 - 565. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
N. Shiiya, T. Kunihara, M. Imamura, T. Murashita, Y. Matsui, and K. Yasuda Surgical management of atherosclerotic aortic arch aneurysms using selective cerebral perfusion: 7-year experience in 52 patients Eur J Cardiothorac Surg, March 1, 2000; 17(3): 266 - 271. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Bachet, D. Guilmet, B. Goudot, G. D. Dreyfus, P. Delentdecker, D. Brodaty, and C. Dubois Antegrade cerebral perfusion with cold blood: a 13-year experience Ann. Thorac. Surg., June 1, 1999; 67(6): 1874 - 1878. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K. M. Dossche, M. A.A.M. Schepens, W. J. Morshuis, F. E. Muysoms, J. J. Langemeijer, and F. E.E. Vermeulen Antegrade selective cerebral perfusion in operations on the proximal thoracic aorta Ann. Thorac. Surg., June 1, 1999; 67(6): 1904 - 1910. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K. M. Dossche, M. A.A.M. Schepens, W. J. Morshuis, A. B. de la Riviere, P. J. Knaepen, and F. E.E. Vermeulen A 23-year experience with composite valve graft replacement of the aortic root Ann. Thorac. Surg., April 1, 1999; 67(4): 1070 - 1077. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Ohmi, K. Tabayashi, M. Hata, H. Yokoyama, M. Sadahiro, and H. Saito Brain damage after aortic arch repair using selective cerebral perfusion Ann. Thorac. Surg., October 1, 1998; 66(4): 1250 - 1253. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. S. Veeragandham, I. N. Hamilton Jr, C. O'Connor, V. Rizzo, and H. Najafi Experience with antegrade bihemispheric cerebral perfusion in aortic arch operations Ann. Thorac. Surg., August 1, 1998; 66(2): 493 - 499. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. Pretre, N. Murith, D. Delay, and T. Kalonji Surgical Management of Hemorrhage From Rupture of the Aortic Arch Ann. Thorac. Surg., May 1, 1998; 65(5): 1291 - 1295. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J Gehron, G Wozniak, F Dapper, E Schindler, and F W Hehrlein Potential problems with simplified selective cerebral perfusion - experimental investigations and clinical improvements Perfusion, December 1, 1997; 12(6): 377 - 383. [Abstract] [PDF]
|
|
|
|
|
|
T. Katoh, K. Esato, H. Gohra, K. Hamano, Y. Fujimura, N. Zempo, K. Nakashima, and T. Maekawa Evaluation of Brain Oxygenation During Selective Cerebral Perfusion by Near-Infrared Spectroscopy Ann. Thorac. Surg., August 1, 1997; 64(2): 432 - 436. [Abstract] [Full Text]
|
|
|
|
|
|
C. L. Filgueiras, L. Ryner, J. Ye, L. Yang, M. Ede, J. Sun, P. Kozlowski, R. Summers, J. K. Saunders, T. A. Salerno, et al. CEREBRAL PROTECTION DURING MODERATE HYPOTHERMIC CIRCULATORY ARREST: HISTOPATHOLOGY AND MAGNETIC RESONANCE SPECTROSCOPY OF BRAIN ENERGETICS AND INTRACELLULAR pH IN PIGS J. Thorac. Cardiovasc. Surg., October 1, 1996; 112(4): 1073 - 1080. [Abstract] [Full Text]
|
|
|
|
|
|
T. Sakurada, T. Kazui, H. Tanaka, and S. Komatsu Comparative Experimental Study of Cerebral Protection During Aortic Arch Reconstruction Ann. Thorac. Surg., May 1, 1996; 61(5): 1348 - 1354. [Abstract] [Full Text]
|
|
|
|
|
|
H. Tanaka, T. Kazui, H. Sato, N. Inoue, O. Yamada, and S. Komatsu Experimental study on the optimum flow rate and pressure for selective cerebral perfusion Ann. Thorac. Surg., March 1, 1995; 59(3): 651 - 657. [Abstract] [PDF]
|
|
|
|
|
|
T. Kazui, N. Kimura, O. Yamada, and S. Komatsu Total arch graft replacement in patients with acute type a aortic dissection Ann. Thorac. Surg., November 1, 1994; 58(5): 1462 - 1468. [Abstract] [PDF]
|
|
| 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 |
