Aortic Arch Replacement without Deep Hypothermic Circulatory Arrest

A 60-year-old man presented with a thoracic aortic aneurysm without rupture accompanied by severe nonrheumatic aortic valve insufficiency and unstable angina. Surgery was performed and included several steps: (1) resection and reconstruction of ascending aorta and aortic arch using a tube graft, (2)...

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Bibliographic Details
Published in:Case reports in surgery 2021-01, Vol.2021, p.8821182-3
Main Authors: Bakhutashvili, Zviad, Janelidze, Lia, Beria, Kakhaber, Matikashvili, Simon, Limonjiani, Eduard
Format: Article
Language:English
Subjects:
Angina
Aorta
Aortic arch
Aortic valve
Arteries
Calcification
Cannulation
Carotid arteries
Case Report
Case reports
Coronary artery
Coronary vessels
Femoral artery
Heart surgery
Heart valves
Hypothermia
Ischemia
Prostheses
Thoracic surgery
Thorax
Thromboembolism
Thrombosis
Veins & arteries
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Description
Summary:A 60-year-old man presented with a thoracic aortic aneurysm without rupture accompanied by severe nonrheumatic aortic valve insufficiency and unstable angina. Surgery was performed and included several steps: (1) resection and reconstruction of ascending aorta and aortic arch using a tube graft, (2) replacement of aortic valve using a biological prosthesis, and (3) coronary artery bypass grafting was performed with two distal anastomoses. All of these procedures were performed with total cardiopulmonary bypass without deep hypothermic circulatory arrest under conditions of moderate hypothermia using dual concurrent cannulation of the subclavian and femoral arteries.
ISSN:2090-6900
2090-6919
DOI:10.1155/2021/8821182