Aortic arch aneurysm: Resection and replacement: protection of the nervous system
Open Access
- 1 March 1972
- Vol. 27 (2) , 239-245
- https://doi.org/10.1136/thx.27.2.239
Abstract
A patient with an aortic arch aneurysm, who was submitted to resection and replacement by a prosthetic graft during a 36-minute period of cerebral arterial occlusion at 20° C, and who subsequently died of ischaemic brain damage, is reported. Current methods for protection of the central nervous system from ischaemic damage during operations of this type are reviewed. It is considered that total body perfusion, including all arteries which supply the circle of Willis, with hypothermia as low as 20° C, will provide the safest background to a successful operation.Keywords
This publication has 24 references indexed in Scilit:
- Aneurysms of aortic arch. Simplified technique for excision and prosthetic replacement.1969
- Partial cardiopulmonary bypass, hypothermia, and total circulatory arrest. A lifesaving technique for ruptured mycotic aortic aneurysms, ruptured left ventricle, and other complicated cardiac pathology.1969
- Profound hypothermia with prolonged circulatory arrest. An experimental study.Thorax, 1966
- Bloodless Surgery by Means of Profound Hypothermia and Circulatory' ArrestAnnals of Surgery, 1965
- Prevention of Brain Damage During Profound Hypothermia and Circulatory ArrestAnnals of Surgery, 1963
- Selective Hypothermic Perfusion and Circulatory ArrestArchives of Surgery, 1962
- Pathophysiologic Aspects of Profound Hypothermia with Extracorporeal CirculationAnnals of Surgery, 1961
- Hypothermic Perfusion and Circulatory Arrest for Surgical Correction of Tetralogy of Fallot with Previously Constructed Potts' AnastomosisDiseases of the Chest, 1961
- A Method for Resection of Aortic Arch AneurysmsAnnals of Surgery, 1960
- PROFOUND HYPOTHERMIA IN CARDIAC SURGERY: REPORT OF THREE CASESThe Lancet, 1959