Hypothermic Circulatory Arrest in Median Sternotomy Hemorrhage During Redo Aortic Surgery
Rev. bras. cir. cardiovasc
; 38(6): e20220164, 2023. tab, graf
Article
in English
|
LILACS-Express
| LILACS
| ID: biblio-1521666
Responsible library:
BR1.1
ABSTRACT
ABSTRACT Introduction:
This study summarizes the clinical data of patients who developed sternotomy hemorrhage during redo aortic surgery and analyzes the clinical experience of using hypothermic circulatory arrest.Methods:
We retrospectively analyzed the medical records of patients who developed sternotomy hemorrhage during redo aortic surgery from May 2018 to August 2021. General anesthesia with single-lumen tracheal intubation was used. Femoral artery, vein, and superior vena cava cannulation were used if cardiopulmonary bypass was required according to the situation, and right superior vein or apical cannulation was selected for left heart drainage.Results:
A total of 11 patients were enrolled in this study, comprising nine males and two females, with an average age of 44.3±16.7 years. All cases were successfully completed without cerebrovascular complications or paraplegia. Two patients died during hospitalization, two patients died during the follow-up after discharge, and the remaining patients are recovering well.Conclusion:
The femoral-femoral bypass with hypothermic circulatory arrest technique is a safe and reliable method to use in cases of sternotomy hemorrhage during redo aortic surgery.
Full text:
Available
Collection:
International databases
Database:
LILACS
Language:
English
Journal:
Rev. bras. cir. cardiovasc
Journal subject:
Cardiology
/
CIRURGIA GERAL
Year:
2023
Document type:
Article
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Project document
Affiliation country:
China
Institution/Affiliation country:
DeltaHealth Hospital/CN
/
The First Affiliated Hospital of Wannan Medical College (Yijishan Hospital of Wannan Medical College)/CN
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Wannan Medical College/CN