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Optimal circulatory arrest temperature for aortic hemiarch replacement with antegrade brain perfusion

Journal of Thoracic and Cardiovascular Surgery, 2023
This study sought to identify the optimal temperature for moderate hypothermic circulatory arrest in patients undergoing elective hemiarch replacement with antegrade brain perfusion.The Society of Thoracic Surgeons adult cardiac surgery database was queried for elective hemiarch replacements using antegrade brain perfusion for aneurysmal disease (2014 ...
Arman Kılıç, Faisal G Bakaeen, Ibrahim S Sultan   +2 more
exaly   +4 more sources

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Aortic Arch-Clamping Technique in Hemiarch Replacement Without Circulatory Arrest

Heart Lung and Circulation, 2023
The open anastomosis technique has become more popular since it was first used in hemiarch replacement; however, hypothermic circulatory arrest is unavoidable. This institution performed a novel surgical technique called the arch-clamping technique. It has been used in the treatment of patients with ascending aortic aneurysm extending to the proximal ...
Jun-Ming Zhu, Yi-Peng Ge, Zhiyu Qiao
exaly   +3 more sources

Safety of retrograde cerebral perfusion under moderate hypothermia for hemiarch replacement

General Thoracic and Cardiovascular Surgery, 2022
Aortic surgeries performed under moderate hypothermia require antegrade cerebral perfusion. The influence of retrograde cerebral perfusion under moderate hypothermic circulatory arrest remains unknown. To clarify this effect, this study aimed to compare the early outcomes of retrograde versus antegrade cerebral perfusion under moderate hypothermia for ...
Yoshinori Nakahara, Shunya Ono, Retsu Tateishi   +2 more
exaly   +3 more sources

Predictors of patent false lumen of the aortic arch after hemiarch replacement

General Thoracic and Cardiovascular Surgery, 2016
Hemiarch replacement for acute type A aortic dissection is less invasive than total arch replacement but involves increased risk of late aortic arch dilation because of patent false lumen of the aortic arch. If we can predict this risk, it may be a valuable prognostic indicator for selecting surgical procedures for acute type A aortic dissection.We ...
Gaku Uchino, Masato Furui
exaly   +3 more sources

Postoperative mediastinitis following hemiarch replacement

General Thoracic and Cardiovascular Surgery, 2005
Although various strategies have been advocated for mediastinitis following cardiac operations, surgical results for this complication remain a significant concern. The condition would be more complicated with replacement of the ascending aorta using a prosthetic graft.
Koji Tsutsumi, Mikihiko Ookura
exaly   +3 more sources

Right Minithoracotomy Approach for Replacement of the Ascending Aorta, Hemiarch, and Aortic Valve

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery, 2016
A minimally invasive right anterior thoracotomy approach is the preferred technique used at our institution for isolated aortic valve pathology. We have recently introduced more complex concomitant minimally invasive procedures through this access site.
Angelo Lapietra
exaly   +3 more sources

Open hemiarch versus clamped ascending aorta replacement for aortopathy during initial bicuspid aortic valve replacement

Journal of Thoracic and Cardiovascular Surgery, 2021
There is controversy regarding the extent of aortic resection necessary in patients with aortopathy related to bicuspid aortic valve disease. To address this issue, we reviewed our experience in patients undergoing ascending aorta replacement during bicuspid aortic valve replacement.We reviewed 702 patients who underwent ascending aorta replacement at ...
Richard Daly, Joseph A Dearani
exaly   +3 more sources