Aneurysms of the descending aorta: Surgical experience with three methods of adjunct procedures |
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Authors: | Kensuke Esato MD Masaki Ōhara Nobuya Zenpo Fumihito Noma Shinichi Nomura Fumiki Mori Shoichi Furukawa Hitoshi Mohri |
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Institution: | (1) Present address: First Department of Surgery, Yamaguchi University School of Medicine, 755 Ube, Yamaguchi, Japan |
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Abstract: | Thirteen patients were surgically treated for the repair of aneurysms of the descending aorta, using three different types
of adjunct procedures—an external temporary bypass with a vascular prosthesis, a tridodecylmethylammonium chloride (TDMAC)
or a partial cardiopulmonary bypass. There was no operative death, though one patient died 73 days following surgery. Significant
intraoperative morbidity occurred in 3 patients: one had ventricular fibrillation and the other two massive hemorrhages. There
was no instance of paraplegia or renal failure. The only significant complication that developed was pulmonary insufficiency
in two patients with a pump bypass. The mean operative time and the mean aortic occlusion time in patients with the TDMAC
shunt were shorter than the times in patients with the vascular prosthetic shunt or the pump bypass. TDMAC shunt required
no special equipment and cannulation was simpler and safer. |
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Keywords: | TDMAC shunt vascular prosthetic shunt pump bypass aneurysm of descending thoracic aorta adjunct procedure |
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