| Literature DB >> 29844738 |
Prity Gupta, Amer Harky, Saleem Jahangeer, Benjamin Adams, Mohamad Bashir.
Abstract
Cardiovascular surgeons have long debated the safe duration of deep hypothermic circulatory arrest during thoracic aortic aneurysm surgery. The rationale for using adjunctive cerebral perfusion (or not) is to achieve the best technical aortic repair with the lowest risk of morbidity and death. In this literature review, we highlight the debates surrounding these issues, evaluate the disparate findings on deep hypothermic circulatory arrest durations and temperatures, and consider the usefulness of adjunctive perfusion.Entities:
Keywords: Aorta, thoracic/surgery; brain ischemia/pathology/prevention & control; cardiac surgical procedures; cerebrovascular circulation; circulatory arrest, deep hypothermia-induced/adverse effects/methods; cognition disorders/etiology/prevention & control; perfusion/adverse effects/methods; postoperative complications/prevention & control; risk assessment; time factors
Mesh:
Year: 2018 PMID: 29844738 PMCID: PMC5940289 DOI: 10.14503/THIJ-17-6364
Source DB: PubMed Journal: Tex Heart Inst J ISSN: 0730-2347