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One Stage Total Repair of the Aortic Arch Anomaly using the Regional Perfusion / 대한흉부외과학회지
The Korean Journal of Thoracic and Cardiovascular Surgery ; : 434-439, 2006.
Artigo em Coreano | WPRIM | ID: wpr-218359
ABSTRACT

BACKGROUND:

Deep hypothermic circulatory arrest during repair of aortic arch anomalies may induce neurological complications or myocardial injury. So we surveyed if the regional cerebral and myocardial perfusion might eliminate those potential side effects. MATERIAL AND

METHOD:

From March 2000 to December 2004, 62 neonates or infants with aortic arch anomaly underwent one stage biventricular repair using the regional perfusion technique by single surgeon. Preoperative diagnosis of the arch anomaly consisted of coarctation (n=46), interruption of the aorta (n=12), hypoplastic left heart syndrome (n=2) and truncus areteriosus (n=2). Combined anomalies were ventricular septal defect (n=51), TAPVR (n=1), PAPVR (n=1) and atrioventricular septal defect (n=2). Arterial cannula was inserted at the innominate artery.

RESULT:

The mean regional perfusion time of brain was 28+/-10 min. Operative mortality rates was 0 (0/62). Late death was 1 (1/62) during 11+/-7 months of follow-up. Neurologic complications consisted of transient chorea in 1 case. There was no reoperation associated with arch anolamy. Pulmonary complication associated with arch repair occurred in 1 case which was managed by aortopexy.

CONCLUSION:

One-stage arch repair using the regional prefusion is safe and effective in minimizing the neurologic and myocardial complications.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Aorta / Aorta Torácica / Perfusão / Fluxo Sanguíneo Regional / Reoperação / Síndrome de Cimitarra / Encéfalo / Seguimentos / Mortalidade / Coreia Tipo de estudo: Estudo diagnóstico / Estudo observacional / Estudo prognóstico Limite: Humanos / Lactente / Recém-Nascido Idioma: Coreano Revista: The Korean Journal of Thoracic and Cardiovascular Surgery Ano de publicação: 2006 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Aorta / Aorta Torácica / Perfusão / Fluxo Sanguíneo Regional / Reoperação / Síndrome de Cimitarra / Encéfalo / Seguimentos / Mortalidade / Coreia Tipo de estudo: Estudo diagnóstico / Estudo observacional / Estudo prognóstico Limite: Humanos / Lactente / Recém-Nascido Idioma: Coreano Revista: The Korean Journal of Thoracic and Cardiovascular Surgery Ano de publicação: 2006 Tipo de documento: Artigo