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The Journal of Thoracic and Cardiovascular Surgery, Vol 94, 824-827, Copyright © 1987 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
ES Crawford, JS Coselli and HJ Safi
Partial cardiopulmonary bypass, profound hypothermia, and circulatory
arrest were used in the treatment of 25 patients with thoracic aortic
aneurysms exposed through left posterolateral incisions. Indications
included aortic clamp laceration (4 patients), pulmonary artery tear (1),
treatment of ruptured aneurysm without clamping (5), right-sided arch (2),
exposure of proximal aorta in a patient with a large aneurysm (1),
inability to expose the proximal aorta for clamping (3), to permit removal
of both arch and distal aorta (4), and to avoid distal arch clamping
because of atheromatous disease (5). Aortic segments ranging from the upper
descending thoracic aorta to most of the aorta were replaced, with early
survival in 21 patients. Cerebral protection was satisfactory.
ARTICLES
Partial cardiopulmonary bypass, hypothermic circulatory arrest, and posterolateral exposure for thoracic aortic aneurysm operation
Department of Surgery, Baylor College of Medicine, Houston, Texas.
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