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Aortic Root Repair/Reconstruction... | Medical Billing .

Aortic Root Repair/Reconstruction... | Medical Billing .

2012-5-25 · carotid arterial graft during our circulatory arrest. We first drew our attention towards the descending thoracic aorta. We were quite concerned about the degree of flap occlusion of the celiac and SMA and therefore elected to place a descending thoracic aortic stent graft using an antegrade technique right through the open arch.

Extensive aortic surgery in acute aortic dissection type A .

Extensive aortic surgery in acute aortic dissection type A .

2019-11-6 · Circulatory arrest per se was revealed as risk factor for long-term survival. Within our single center retrospective study concomitant aortic root repair or aortic arch replacement for AADA demonstrated acceptable early and long-term survival.

Extensive aortic surgery in acute aortic dissection type A .

Extensive aortic surgery in acute aortic dissection type A .

Circulatory arrest per se was revealed as risk factor for long-term survival. Conclusions: Within our single center retrospective study concomitant aortic root repair or aortic arch replacement for AADA demonstrated acceptable early and long-term survival. Circulatory arrest, long bypass and operation times per se might be important risk .

Risk Analysis for Aortic Surgery Using Hypothermic .

Risk Analysis for Aortic Surgery Using Hypothermic .

2013-5-9 · Risk Analysis for Aortic Surgery Using Hypothermic Circulatory Arrest With Retrograde Cerebral Perfusion G. Michael Deeb, MD, David M. Williams, MD, Leslie E. Quint, MD, Hilary M. Monaghan, RN, and Michael J. Shea, MD Section of Cardiac Surgery, Department of Surgery, Department of Radiology, and Section of Cardiology, Department of Internal

Aortic Disease Surgical Treatments | Pauley Heart Center .

Aortic Disease Surgical Treatments | Pauley Heart Center .

Hypothermic Circulatory Arrest in Surgery. In aortic surgery it is sometimes necessary to perform procedures without clamping the aorta, while at the same time keeping the surgical field free of blood. An effective solution was found in hypothermic circulatory arrest (HCA), also called total circulatory arrest .

Circulatory Arrest Cases — AANC Raleigh

Circulatory Arrest Cases — AANC Raleigh

Circulatory Arrest Guidelines (for Cases at Wake Med Hospitals) Case Type: · Urgent or Elective Proximal aortic procedures that require Deep Hypothermic Circulatory Arrest (DHCA) with utilization of antegrade cerebral perfusion (ACP) · Emergency cases that require retrograde cerebral perfusion (RCP) where there is not enough time to surgically cannulate the axillary artery

Aortic root surgery with circulatory arrest: Predictors of .

Aortic root surgery with circulatory arrest: Predictors of .

2016-11-16 · Little is known about the outcomes of aortic root operations that involve inducing hypothermic circulatory arrest for relatively extensive proximal aortic surgery. We attempted to identify predictors of postoperative hospital length of stay (LOS) and factors that affect postoperative recovery.

Current and Future Management Strategies of Type A Aortic .

Current and Future Management Strategies of Type A Aortic .

When the aortic arch is examined during hypothermic circulatory arrest to look for intimal or re-entry tears, a decision is made whether an aortic arch replacement has to be done. The pre-operative CT aortogram helps in localising the dissection and also on deciding the placement of the aortic cross clamp.

Anesthetic Management for Thoracic Aortic Aneurysms and .

Anesthetic Management for Thoracic Aortic Aneurysms and .

KEY POINTS 1. An aortic dissection usually occurs when blood penetrates the aortic intima, forming either an expanding hematoma within the aortic wall or simply a false channel for blood flow between the medial layer. 2. An aortic aneurysm involves dilation of all three layers of the aortic wall. 3. The term dissecting aneurysm, although.

Aortic root surgery with circulatory arrest: Predictors of .

Aortic root surgery with circulatory arrest: Predictors of .

2017-2-15 · LOS and expedite recovery. Performing aortic valve–sparing root replacement, whenfeasible,mayalsoreduceLOS.(JThoracCardiovascSurg2017;153:511-8) Shorter postoperative LOS is feasible after aortic root surgery with circulatory arrest. Central Message Useful strategies for improving recovery and decreasing postoperative length of stay after aortic

Current and Future Management Strategies of Type A Aortic .

Current and Future Management Strategies of Type A Aortic .

Type A Aortic dissection is a life-threatening emergency. It has varied clinical presentation from acute severe chest pain radiating to the back, collapse due to aortic rupture or pericardial tamponade or features of myocardial infarction, end organ or limb ischemia. The outcome is determined by the extent of the dissection, timing of presentation, comorbid factors, prompt diagnosis, adequate .

[Clinical analysis of different root treatment .

[Clinical analysis of different root treatment .

Only one patient received redo Bentall procedure because of severe aortic regurgitation and dilated aortic root (diameter of 50 mm). Conclusions: The indication of root management of acute Stanford type A aortic dissection is based on the diameter of aortic root, structure of aortic .

Repair of type A aortic intramural hematoma with ascending .

Repair of type A aortic intramural hematoma with ascending .

The aortic root is debrided just enough to expose the coronary ostia, retrograde cardioplegia is discontinued and antegrade cardioplegia is given directly into the coronary ostia. The ascending aorta is resected to the level of the STJ and the aortic root wall is debrided. . It can also be used towards the end of the circulatory arrest time .

Total Circulatory Arrest for the Replacement of the .

Total Circulatory Arrest for the Replacement of the .

Many studies 1-13 have reported the use of profound hypothermic total circulatory arrest (TCA) in the treatment of type A and B aortic dissections and thoracoabdominal aortic aneurysms. The safety and efficacy of hypothermic TCA for the resection of the descending and thoracoabdominal aorta have been well established in recent years. 1,6,9-12,14 Atherosclerosis is a major factor in deciding .

Intrathoracic right subclavian artery cannulation in .

Intrathoracic right subclavian artery cannulation in .

The majority of patients (74%) had unilateral ACP. The median hypothermic circulatory arrest time was 22 minutes, with an average lowest temperature of 24 °C. Fifty patients (86%) underwent a concomitant aortic valve or root procedure .

Aortic root surgery in combination with hypothermic .

Aortic root surgery in combination with hypothermic .

2009-8-1 · Abstract. The objective of this study was to compare the results of elective composite (C) vs. David (D) operations in patients requiring additional aortic arch surgery using hypothermic circulatory arrest (HCA) and selective antegrade cerebral perfusion (SACP), with the focus on postoperative neurological outcome and quality of life (SF-36).

Cardiac Surgery Aortic Arch Replacement/ Selective .

Cardiac Surgery Aortic Arch Replacement/ Selective .

2012-10-14 · Figure 4 In patients with significant aortic valve insufficiency or with the necessity of aortic root reconstruction, the ascending aorta is cross-clamped. The myocardium is protected with blood cardioplegia. In the case of severe athero- . in preparation for circulatory arrest. Aortic arch replacement/selective antegrade perfusion 27.

Aortic root surgery with circulatory arrest: Predictors of .

Aortic root surgery with circulatory arrest: Predictors of .

Little is known about the outcomes of aortic root operations that involve inducing hypothermic circulatory arrest for relatively extensive proximal ao.

ISMICS - Minimally Invasive, Mini Thoracotomy, Replacement .

ISMICS - Minimally Invasive, Mini Thoracotomy, Replacement .

The mean ascending aorta diameter was 4.5 ± 0.4 cm. The median aortic cross clamp and cardiopulmonary bypass times were 163 minutes (IQR 141-170) and 291 minutes (IQR 177-215), respectively. There were 19 (95%) patients who required hypothermic circulatory arrest, with a median hypothermic circulatory arrest time was 35 minutes (IQR 33-39.5).

UpToDate

UpToDate

2020-6-18 · Deep hypothermic circulatory arrest (DHCA) permits surgical reconstruction of the aortic arch without crossclamping a diseased aorta or instrumenting and possibly injuring aortic arch branch vessels. Selective antegrade cerebral perfusion (SACP) is a technique to perfuse the brain using the CPB circuit by direct cannulation of the axillary .

Cardiac Surgery Aortic Arch Replacement/ Selective .

Cardiac Surgery Aortic Arch Replacement/ Selective .

2012-10-14 · Figure 4 In patients with significant aortic valve insufficiency or with the necessity of aortic root reconstruction, the ascending aorta is cross-clamped. The myocardium is protected with blood cardioplegia. In the case of severe athero- . in preparation for circulatory arrest. Aortic arch replacement/selective antegrade perfusion 27.

Aortic Root Repair/Reconstruction... | Medical Billing .

Aortic Root Repair/Reconstruction... | Medical Billing .

2012-5-25 · carotid arterial graft during our circulatory arrest. We first drew our attention towards the descending thoracic aorta. We were quite concerned about the degree of flap occlusion of the celiac and SMA and therefore elected to place a descending thoracic aortic stent graft using an antegrade technique right through the open arch.

Circulatory Arrest Cases — AANC Raleigh

Circulatory Arrest Cases — AANC Raleigh

Circulatory Arrest Guidelines (for Cases at Wake Med Hospitals) Case Type: · Urgent or Elective Proximal aortic procedures that require Deep Hypothermic Circulatory Arrest (DHCA) with utilization of antegrade cerebral perfusion (ACP) · Emergency cases that require retrograde cerebral perfusion (RCP) where there is not enough time to surgically cannulate the axillary artery

Current Trends in Aortic Root Surgery: The Mini-Bentall .

Current Trends in Aortic Root Surgery: The Mini-Bentall .

No strokes were observed in either group, and there were no conversions to median sternotomy in the mini-Bentall group. Conclusions: An upper hemisternotomy is a feasible technique in patients undergoing elective aortic root replacement surgery. However, future prospective studies are required before these procedures become the standard of care.

Reoperative Repair of Aortic Root and Ascending Aorta .

Reoperative Repair of Aortic Root and Ascending Aorta .

Aneurysms involving the ascending aorta and aortic root can be repaired with low operative risk. Operations such as composite valve-graft root replacement or valve-sparing root reconstruction carry expected mortality <4% with few perioperative complications.1-4 However, reoperative surgery on the ascending aorta continues to be quite challenging for cardiac surgeons.

Aortic root surgery in combination with hypothermic .

Aortic root surgery in combination with hypothermic .

Aortic root surgery in combination with hypothermic circulatory arrest: preserve or replace the aortic valve in the context of postoperative neurological outcome? A case match comparison. Khaladj N(1), Ismail I, Shrestha M, Peterss S, Pichlmaier M, Kallenbach K, Haverich A, Hagl C.

Aortic root surgery with circulatory arrest: Predictors of .

Aortic root surgery with circulatory arrest: Predictors of .

2017-3-1 · Methods. During 2006-2014, 247 of 265 patients (93.2%) with disease extending into the aortic arch survived aortic root operations (206 elective, 41 urgent/emergent) in which hypothermic circulatory arrest with moderate hypothermia was used.

Predictors of Outcomes after Correction of Acute Type A .

Predictors of Outcomes after Correction of Acute Type A .

INTRODUCTION. Hypothermic circulatory arrest (CA) is widely used for correction of acute type A aortic dissection (AAD). In an attempt to establish a bloodless surgical field and ameliorate brain protection, which is more vulnerable in this case, a variety of techniques for cardiopulmonary bypass (CPB) and cerebral perfusion during CA have been suggested over the years [1-3].

Bentall Procedure | Thoracic Key

Bentall Procedure | Thoracic Key

Systemic cooling to a temperature of 34°C (93.2°F) is sufficient for routine replacement of the aortic root, but a temperature of 12°–18°C (53.6°–64.4°F) is necessary if a total circulatory arrest technique is used. An isoelectric tracing on the electroencephalographic monitor can be a biologic guide to circulatory arrest.

Root Reconstruction with Total Replacement of Ascending .

Root Reconstruction with Total Replacement of Ascending .

Objective: We have occasionally encountered a moderately dilated distal ascending aorta while reconstructing an aortic root. We describe reconstruction of an extended root and ascending aorta using our current strategy. Patients and Methods: Between March 2011 and December 2012, 15 (11 men; mean age, 70.1 ± 7.3 years) patients underwent root reconstruction with hemi-arch replacement under .