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One-stage total repair of aortic arch anomaly using regional perfusion
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Lim, Hong-Gook | - |
dc.contributor.author | Kim, Woong-Han | - |
dc.contributor.author | Jang, Woo-Sung | - |
dc.contributor.author | Lim, Cheong | - |
dc.contributor.author | Kwak, Jae Gun | - |
dc.contributor.author | Lee, Cheul | - |
dc.contributor.author | Hwang, Seong Wook | - |
dc.date.accessioned | 2009-11-23T06:08:01Z | - |
dc.date.available | 2009-11-23T06:08:01Z | - |
dc.date.issued | 2006-11-28 | - |
dc.identifier.citation | Eur J Cardiothorac Surg. 2007 Feb;31(2):242-8. Epub 2006 Nov 28. | en |
dc.identifier.issn | 1010-7940 (Print) | - |
dc.identifier.uri | http://ejcts.ctsnetjournals.org/cgi/content/full/31/2/242 | - |
dc.identifier.uri | http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=17126555 | - |
dc.identifier.uri | https://hdl.handle.net/10371/13823 | - |
dc.description.abstract | OBJECTIVE: Primary repair of aortic arch obstructions and associated cardiac anomalies is a surgical challenge in neonates and infants. Deep hypothermic circulatory arrest prolongs myocardial ischemia and might induce cerebral and myocardial dysfunction. METHODS: From March 2000 to December 2005, 69 neonates or infants with aortic arch anomaly underwent one-stage biventricular repair with continuous cerebral perfusion in the presence of a nonworking beating heart using the dual perfusion technique on the innominate artery and aortic root. Preoperative diagnoses of arch anomaly comprised aortic coarctation (n=54) or an interrupted aortic arch (n=15). Combined anomalies were ventricular septal defect (n=52), anomalous origin of the right pulmonary artery from ascending aorta (n=3), hypoplastic left heart syndrome (n=2), truncus arteriosus (n=2), atrioventricular septal defect (n=2), double outlet right ventricle (n=1), total anomalous pulmonary venous return (n=1), partial anomalous pulmonary venous return (n=1), and aortic stenosis (n=1). RESULTS: The mean regional perfusion time was 27.8+/-9.8 min. There was no operative mortality. Postoperative low cardiac output was present in four patients (5.8%). A neurologic complication was noted in one patient (1.5%) who developed transient chorea, but recovered completely. During 32.8+/-17.5 months of follow-up, one late death (1.5%) occurred. There was neither reoperation associated with arch anomaly nor recoarctation except in one patient. One patient developed left main bronchial compression necessitating aortopexy. CONCLUSIONS: One-stage total arch repair using our regional perfusion technique is an excellent method that may minimize neurologic and myocardial complications without mortality. Our surgical strategy for arch anomaly has a low rate of residual and recurrent coarctation when performed in neonates and infants. | en |
dc.language.iso | en | en |
dc.publisher | Elsevier | en |
dc.subject | Aortic Arch Syndromes/*surgery | en |
dc.subject | Aortic Coarctation/surgery | en |
dc.subject | Brain Diseases/prevention & control | en |
dc.subject | Cardiopulmonary Bypass | en |
dc.subject | Cerebrovascular Circulation | en |
dc.subject | Follow-Up Studies | en |
dc.subject | Heart Arrest, Induced/methods | en |
dc.subject | Heart Septal Defects, Ventricular/surgery | en |
dc.subject | Humans | en |
dc.subject | Infant | en |
dc.subject | Infant, Newborn | en |
dc.subject | Perfusion/methods | en |
dc.subject | Postoperative Complications | en |
dc.subject | Treatment Outcome | en |
dc.title | One-stage total repair of aortic arch anomaly using regional perfusion | en |
dc.type | Article | en |
dc.contributor.AlternativeAuthor | 임홍국 | - |
dc.contributor.AlternativeAuthor | 김웅한 | - |
dc.contributor.AlternativeAuthor | 장우성 | - |
dc.contributor.AlternativeAuthor | 임청 | - |
dc.contributor.AlternativeAuthor | 곽재건 | - |
dc.contributor.AlternativeAuthor | 이철 | - |
dc.contributor.AlternativeAuthor | 황성욱 | - |
dc.identifier.doi | 10.1016/j.ejcts.2006.10.035 | - |
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