Indian Journal of Extra-Corporeal Technology
Year : 2018, Volume : 27, Issue : 1
First page : ( 43) Last page : ( 45)
Print ISSN : 2231-0665. Online ISSN : 2231-0673.

Descending thoracic aortic aneurysm repair using distal perfusion technique-A case report

Divya R, Selvam D.

Department of Cardiothoracic Surgery, Rajiv Gandhi Government General Hospital, Chennai

Online published on 17 October, 2018.

Abstract

Aneurysmal disease of aorta accounts for 1–2% deaths in India. 40% of patients are asymptomatic. Open repair of the descending thoracic aorta and thoracoabdominal aorta remains a challenging procedure. In our center, we had performed 15 descending thoracic aortic aneurysm repair in the last 1 year. Challenges related to perfusion support of descending thoracic aortic repair includes maintenance of distal aortic perfusion, rapidity of fluid resuscitation, avoidance of hypothermia and hemodilution. So, we had chosen ON PUMP BEATING heart procedure with normal temperature range for most of the procedures. This technique required oxygenators and heparinization. Clearing the problematic knots of perfusion will help to decrease the morbidity and mortality rate of descending thoracic aortic aneurysm repair.

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Keywords

Crawford classification, descending thoracic aortic aneurysm surgeries, distal perfusion technique, hemodynamic management.

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