|
|
||||||||
The Journal of Thoracic and Cardiovascular Surgery, Vol 70, 1051-1063, Copyright © 1975 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
RB Griepp, EB Stinson, JF Hollingsworth and D Buehler
Four patients are reported in whom the aortic arch and variable portions of
the ascending and descending aorta were replaced with a prosthesis. In
three patients the preoperative diagnosis was dissecting aneurysm of the
aortic arch and in one an arteriosclerotic aneurysm of the aortic arch was
present. A combination of surface cooling and cardiopulmonary bypass was
utilized to produce total body hypothermia. Arch replacement was carried
out during a period of total circulatory arrest. Cardiopulmonary bypass was
then utilized to warm the patient and resuscitate the heart. The average
duration of cerebral ischemia was 43 minutes and the average duration of
myocardial ischemia was 74 minutes. The average lowest esophageal
temperature was 14 degrees C., and the average lowest rectal temperature
was 18 degrees C. Three patients are alive and well 4 to 13 months
following surgery. One patient died 4 days postoperatively of pulmonary
insufficiency. This experience indicates that by utilizing total body
hypothermia and circulatory arrest aortic arch replacement can be carried
out with an acceptable mortality rate. Corrective surgery could be offered
to patients with life-threatening enlarging aneurysms of the aortic arch.
ARTICLES
Prosthetic replacement of the aortic arch
This article has been cited by other articles:
![]() |
A. L. Estrera, C. C. Miller III, T.-Y. Lee, P. Shah, and H. J. Safi Ascending and Transverse Aortic Arch Repair: The Impact of Retrograde Cerebral Perfusion Circulation, September 30, 2008; 118(14_suppl_1): S160 - S166. [Abstract] [Full Text] [PDF] |
||||
![]() |
T. M. Sundt III, T. A. Orszulak, D. J. Cook, and H. V. Schaff Improving Results of Open Arch Replacement Ann. Thorac. Surg., September 1, 2008; 86(3): 787 - 796. [Abstract] [Full Text] [PDF] |
||||
![]() |
S. Morita, M. Yasaka, K. Yasumori, Y. Oishi, T. Takaseya, H. Sonoda, and T. Kawara Transcranial Doppler study to assess intracranial arterial communication before aortic arch operation. Ann. Thorac. Surg., August 1, 2008; 86(2): 448 - 451. [Abstract] [Full Text] [PDF] |
||||
![]() |
H. J. Patel and G. M. Deeb Ascending and Arch Aorta: Pathology, Natural History, and Treatment Circulation, July 8, 2008; 118(2): 188 - 195. [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] |
||||
![]() |
J. S. Coselli, J. Bozinovski, and C. Cheung Hypothermic Circulatory Arrest: Safety and Efficacy in the Operative Treatment of Descending and Thoracoabdominal Aortic Aneurysms Ann. Thorac. Surg., March 1, 2008; 85(3): 956 - 964. [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] |
||||
![]() |
G. J. Arnaoutakis, A. Bihorac, T. D. Martin, P. J. Hess Jr, C. T. Klodell, A. A. Ejaz, C. Garvan, C. G. Tribble, and T. M. Beaver RIFLE criteria for acute kidney injury in aortic arch surgery. J. Thorac. Cardiovasc. Surg., December 1, 2007; 134(6): 1554 - 1561. [Abstract] [Full Text] [PDF] |
||||
![]() |
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] |
||||
![]() |
S. Masuda, Y. Saiki, S. Kawatsu, I. Yoshioka, H. Fujiwara, S. Kawamoto, S. Sai, A. Iguchi, N. Sakamoto, T. Ohashi, et al. Trial of new vascular clips for aortic anastomosis in a canine model J. Thorac. Cardiovasc. Surg., September 1, 2007; 134(3): 723 - 730. [Abstract] [Full Text] [PDF] |
||||
![]() |
D. G. Nezic, A. M. Knezevic, M. V. Cirkovic, and I. C. Stojanovic Inverted Graft for Construction of an Open Distal Anastomosis in Ascending Aorta and/or Arch Replacement: An Old Technique Ann. Thorac. Surg., August 1, 2007; 84(2): 712 - 713. [Full Text] [PDF] |
||||
![]() |
V. Papantchev, S. Hristov, D. Todorova, E. Naydenov, A. Paloff, D. Nikolov, A. Tschirkov, and W. Ovtscharoff Some variations of the circle of Willis, important for cerebral protection in aortic surgery -- a study in Eastern Europeans Eur. J. Cardiothorac. Surg., June 1, 2007; 31(6): 982 - 989. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. Zierer, M. R. Moon, S. J. Melby, N. Moazami, J. S. Lawton, N. T. Kouchoukos, M. K. Pasque, and R. J. Damiano Jr Impact of Perfusion Strategy on Neurologic Recovery in Acute Type A Aortic Dissection Ann. Thorac. Surg., June 1, 2007; 83(6): 2122 - 2129. [Abstract] [Full Text] [PDF] |
||||
![]() |
I. Dorotta, P. Kimball-Jones, and R. Applegate II Deep hypothermia and circulatory arrest in adults. Seminars in Cardiothoracic and Vascular Anesthesia, March 1, 2007; 11(1): 66 - 76. [Abstract] [PDF] |
||||
![]() |
G. R. Stier and E. W. Verde The postoperative care of adult patients exposed to deep hypothermic circulatory arrest. Seminars in Cardiothoracic and Vascular Anesthesia, March 1, 2007; 11(1): 77 - 85. [Abstract] [PDF] |
||||
![]() |
J. W. Fehrenbacher, D. W. Hart, E. Huddleston, H. Siderys, and C. Rice Optimal End-Organ Protection for Thoracic and Thoracoabdominal Aortic Aneurysm Repair Using Deep Hypothermic Circulatory Arrest Ann. Thorac. Surg., March 1, 2007; 83(3): 1041 - 1046. [Abstract] [Full Text] [PDF] |
||||
![]() |
N. T. Kouchoukos, M. C. Mauney, P. Masetti, and C. F. Castner Optimization of Aortic Arch Replacement With a One-Stage Approach Ann. Thorac. Surg., February 1, 2007; 83(2): S811 - S814. [Abstract] [Full Text] [PDF] |
||||
![]() |
M. A.A.M. Schepens Aortic arch replacement: the conventional 'elephant trunk' technique MMCTS, January 2, 2007; 2007(0102): 2006. [Abstract] [Full Text] [PDF] |
||||
![]() |
N. Khaladj, S. Peterss, P. Oetjen, R. von Wasielewski, G. Hauschild, M. Karck, A. Haverich, and C. Hagl Hypothermic circulatory arrest with moderate, deep or profound hypothermic selective antegrade cerebral perfusion: which temperature provides best brain protection? Eur. J. Cardiothorac. Surg., September 1, 2006; 30(3): 492 - 498. [Abstract] [Full Text] [PDF] |
||||
![]() |
G. Silvay and M. E. Stone Repair of Thoracic Aneurysms, with Special Emphasis on the Preoperative Work-Up Seminars in Cardiothoracic and Vascular Anesthesia, March 1, 2006; 10(1): 11 - 15. [Abstract] [PDF] |
||||
![]() |
D. Spielvogel, J. C. Halstead, M. Meier, I. Kadir, S. L. Lansman, R. Shahani, and R. B. Griepp Aortic Arch Replacement Using a Trifurcated Graft: Simple, Versatile, and Safe Ann. Thorac. Surg., July 1, 2005; 80(1): 90 - 95. [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] |
||||
![]() |
C. Hagl, D. J. Weisz, N. Khaladj, M. M. Griepp, D. Spielvogel, B.-Y. Yang, R. A. de Asla, C. A. Bodian, and R. B. Griepp Use of a Maze to Detect Cognitive Dysfunction in a Porcine Model of Hypothermic Circulatory Arrest Ann. Thorac. Surg., April 1, 2005; 79(4): 1307 - 1314. [Abstract] [Full Text] [PDF] |
||||
![]() |
M. Yoshitatsu, F. Nomura, K. Toda, A. Katayama, K. Tamura, K. Katayama, and K. Ihara The "Eaves" Technique for Distal Anastomosis in Aortic Arch Replacement Ann. Thorac. Surg., April 1, 2005; 79(4): 1422 - 1424. [Abstract] [Full Text] [PDF] |
||||
![]() |
H. J. Soukiasian, S. S. Raissi, T. Kleisli, A. T. Lefor, G. P. Fontana, L. S. C. Czer, and A. Trento Total Circulatory Arrest for the Replacement of the Descending and Thoracoabdominal Aorta Arch Surg, April 1, 2005; 140(4): 394 - 398. [Abstract] [Full Text] [PDF] |
||||
![]() |
C.-H. Yeh, Y.-C. Wang, Y.-C. Wu, Y.-M. Lin, and P. J. Lin Ischemic preconditioning or heat shock pretreatment ameliorates neuronal apoptosis following hypothermic circulatory arrest J. Thorac. Cardiovasc. Surg., August 1, 2004; 128(2): 203 - 210. [Abstract] [Full Text] [PDF] |
||||
![]() |
C. A. Nienaber, R. Fattori, R. H. Mehta, B. M. Richartz, A. Evangelista, M. Petzsch, J. V. Cooper, J. L. Januzzi, H. Ince, U. Sechtem, et al. Gender-Related Differences in Acute Aortic Dissection Circulation, June 22, 2004; 109(24): 3014 - 3021. [Abstract] [Full Text] [PDF] |
||||
![]() |
H.-Y. Yu, Y.-S. Chen, S.-C. Huang, S.-S. Wang, and F.-Y. Lin Late outcome of patients with aortic dissection: study of a national database Eur. J. Cardiothorac. Surg., May 1, 2004; 25(5): 683 - 690. [Abstract] [Full Text] [PDF] |
||||
![]() |
T. Kazui Editorial comment: Post-operative neuropsychological function unaffected by SjO2 monitoring in DHCA Eur. J. Cardiothorac. Surg., March 1, 2004; 25(3): 406 - 408. [Full Text] [PDF] |
||||
![]() |
J. T. Strauch, D. Spielvogel, A. Lauten, J. D. Galla, S. L. Lansman, K. McMurtry, and R. B. Griepp Technical advances in total aortic arch replacement Ann. Thorac. Surg., February 1, 2004; 77(2): 581 - 590. [Abstract] [Full Text] [PDF] |
||||
![]() |
H. Shimura, M. Masuda, M. Imamaki, and M. Miyazaki Evaluation of cerebral pathologic changes and long-term behavioral disorder after deep hypothermic circulatory arrest in dogs Interactive CardioVascular and Thoracic Surgery, December 1, 2003; 2(4): 466 - 471. [Abstract] [Full Text] [PDF] |
||||
![]() |
J. T. Strauch, D. Spielvogel, P. L. Haldenwang, N. Zhang, D. Weisz, C. A. Bodian, and R. B. Griepp Impact of hypothermic selective cerebral perfusion compared with hypothermic cardiopulmonary bypass on cerebral hemodynamics and metabolism Eur. J. Cardiothorac. Surg., November 1, 2003; 24(5): 807 - 816. [Abstract] [Full Text] [PDF] |
||||
![]() |
T. M. Fleck, M. Czerny, D. Hutschala, H. Koinig, E. Wolner, and M. Grabenwoger The incidence of transient neurologic dysfunction after ascending aortic replacement with circulatory arrest Ann. Thorac. Surg., October 1, 2003; 76(4): 1198 - 1202. [Abstract] [Full Text] [PDF] |
||||
![]() |
K. Oda, H. Akimoto, M. Hata, J. Akasaka, K. Yamaya, A. Iguchi, and K. Tabayashi Use of cuffed anastomosis in total aortic arch replacement Ann. Thorac. Surg., September 1, 2003; 76(3): 952 - 953. [Abstract] [Full Text] [PDF] |
||||
![]() |
C. Hagl, N. Khaladj, M. Karck, K. Kallenbach, R. Leyh, M. Winterhalter, and A. Haverich Hypothermic circulatory arrest during ascending and aortic arch surgery: the theoretical impact of different cerebral perfusion techniques and other methods of cerebral protection Eur. J. Cardiothorac. Surg., September 1, 2003; 24(3): 371 - 378. [Abstract] [Full Text] [PDF] |
||||
![]() |
Y. Mori, H. Hirose, H. Takagi, Y. Umeda, Y. Fukumoto, K. Shimabukuro, and Y. Matsuno Aortic arch repair for Stanford type A aortic dissection with distal anastomosis to the proximal level of the distal aortic arch J. Thorac. Cardiovasc. Surg., August 1, 2003; 126(2): 415 - 419. [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] |
||||
![]() |
D. Spielvogel, M. N. Mathur, and R. B. Griepp Aneurysms of the Aortic Arch Card. Surg. Adult, January 1, 2003; 2(2003): 1149 - 1168. [Full Text] |
||||
![]() |
A. Haverich Letter to Hans Georg Borst J. Thorac. Cardiovasc. Surg., November 1, 2002; 124(5): 891 - 893. [Full Text] [PDF] |
||||
![]() |
D. Spielvogel, J. T. Strauch, O. P. Minanov, S. L. Lansman, and R. B. Griepp Aortic arch replacement using a trifurcated graft and selective cerebral antegrade perfusion Ann. Thorac. Surg., November 1, 2002; 74(5): S1810 - 1814. [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] |
||||
![]() |
D. T. Lai, R. C. Robbins, R. S. Mitchell, K. A. Moore, P. E. Oyer, N. E. Shumway, B. A. Reitz, and D. C. Miller Does Profound Hypothermic Circulatory Arrest Improve Survival in Patients With Acute Type A Aortic Dissection? Circulation, September 24, 2002; 106(12_suppl_1): I-218 - I-228. [Abstract] [Full Text] [PDF] |
||||
![]() |
T. Kazui, N. Washiyama, A. H. M. Bashar, H. Terada, T. Suzuki, K. Ohkura, and K. Yamashita Surgical outcome of acute type A aortic dissection: analysis of risk factors Ann. Thorac. Surg., July 1, 2002; 74(1): 75 - 81. [Abstract] [Full Text] [PDF] |
||||
![]() |
H. Takagi, Y. Mori, H. Iwata, Y. Umeda, Y. Matsuno, and H. Hirose Aortic balloon occlusion catheter with perfusion lumen for protection of lower body during distal anastomosis in aortic arch repair J. Thorac. Cardiovasc. Surg., May 1, 2002; 123(5): 1006 - 1008. [Full Text] [PDF] |
||||
![]() |
D. Harrington, C. H. Wong, and R. S. Bonser Neurological Complications of Aortic Surgery Seminars in Cardiothoracic and Vascular Anesthesia, March 1, 2002; 6(1): 7 - 16. [Abstract] [PDF] |
||||
![]() |
M. Murtra The adventure of cardiac surgery Eur. J. Cardiothorac. Surg., February 1, 2002; 21(2): 167 - 180. [Full Text] [PDF] |
||||
![]() |
M. A. Schepens, K. M. Dossche, W. J. Morshuis, P. J. van den Barselaar, R. H. Heijmen, and F. E. Vermeulen The elephant trunk technique: operative results in 100 consecutive patients Eur. J. Cardiothorac. Surg., February 1, 2002; 21(2): 276 - 281. [Abstract] [Full Text] [PDF] |
||||
![]() |
W. A. L. Soong, S. Uysal, and D. L. Reich Cerebral Protection During Surgery of the Aortic Arch Seminars in Cardiothoracic and Vascular Anesthesia, November 1, 2001; 5(4): 286 - 292. [Abstract] [PDF] |
||||
![]() |
M. P. Ehrlich, C. Hagl, J. N. McCullough, N. Zhang, H. Shiang, C. Bodian, and R. B. Griepp Retrograde cerebral perfusion provides negligible flow through brain capillaries in the pig J. Thorac. Cardiovasc. Surg., August 1, 2001; 122(2): 331 - 338. [Abstract] [Full Text] [PDF] |
||||
![]() |
J. Rimpilainen, M. Pokela, K. Kiviluoma, V. Vainionpaa, J. Hirvonen, P. Ohtonen, V. Jantti, V. Anttila, H. Heinonen, and T. Juvonen The N-methyl-D-aspartate antagonist memantine has no neuroprotective effect during hypothermic circulatory arrest: A study in the chronic porcine model J. Thorac. Cardiovasc. Surg., May 1, 2001; 121(5): 957 - 968. [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. Hirotani, T. Kameda, T. Kumamoto, and S. Shirota Aortic arch repair using hypothermic circulatory arrest technique associated with pharmacological brain protection Eur. J. Cardiothorac. Surg., November 1, 2000; 18(5): 545 - 549. [Abstract] [Full Text] [PDF] |
||||
![]() |
V. Anttila, J. Rimpilainen, M. Pokela, K. Kiviluoma, M. Makiranta, V. Jantti, V. Vainionpaa, J. Hirvonen, and T. Juvonen Lamotrigine improves cerebral outcome after hypothermic circulatory arrest: A study in a chronic porcine model J. Thorac. Cardiovasc. Surg., August 1, 2000; 120(2): 247 - 255. [Abstract] [Full Text] [PDF] |
||||
![]() |
M. P. Ehrlich, M. A. Ergin, J. N. McCullough, S. L. Lansman, J. D. Galla, C. A. Bodian, A. Z. Apaydin, and R. B. Griepp Predictors of adverse outcome and transient neurological dysfunction after ascending aorta/hemiarch replacement Ann. Thorac. Surg., June 1, 2000; 69(6): 1755 - 1763. [Abstract] [Full Text] [PDF] |
||||
![]() |
W. S. Ring Congenital Heart Surgery Nomenclature and Database Project: aortic aneurysm, sinus of valsalva aneurysm, and aortic dissection Ann. Thorac. Surg., April 1, 2000; 69(4): S147 - 163. [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] |
||||
![]() |
P. G. Hagan, C. A. Nienaber, E. M. Isselbacher, D. Bruckman, D. J. Karavite, P. L. Russman, A. Evangelista, R. Fattori, T. Suzuki, J. K. Oh, et al. The International Registry of Acute Aortic Dissection (IRAD): New Insights Into an Old Disease JAMA, February 16, 2000; 283(7): 897 - 903. [Abstract] [Full Text] [PDF] |
||||
![]() |
K. W. Jones TWENTY-FIVE YEARS OF EXCELLENCE: THE LEGACY AND THE CHALLENGE J. Thorac. Cardiovasc. Surg., February 1, 2000; 119(2): 203 - 209. [Full Text] [PDF] |
||||
![]() |
H. Ogino, Y. Ueda, K. Matsubayashi, and T. Nomoto Modified Elephant Trunk Procedure for Type-A Aortic Dissection Asian Cardiovasc Thorac Ann, December 1, 1999; 7(4): 329 - 330. [Abstract] [Full Text] [PDF] |
||||
![]() |
M. P. Ehrlich, W. C. Fang, M. Grabenwoger, A. Kocher, J. Ankersmit, G. Laufer, G. Grubhofer, M. Havel, and E. Wolner IMPACT OF RETROGRADE CEREBRAL PERFUSION ON AORTIC ARCH ANEURYSM REPAIR J. Thorac. Cardiovasc. Surg., December 1, 1999; 118(6): 1026 - 1032. [Abstract] [Full Text] [PDF] |
||||
![]() |
|