Reoperation for a type I aortic dissection: Case report

Robert K. Wise, Ned T. Wiggs, Marcelo C. Dasilva, Robert M. McCoach, Walter E. Pae, Larry D. Baer, Lindy J. Hamilton, Gregory J. Hummer, Christopher J. Kapp, Dennis R. Williams

Research output: Contribution to journalArticle

Abstract

Surgery for the repair of a type I aortic dissection presents several difficulties for the surgeon and the perfusionist. One must safely support the patient, while at the same time provide the surgeon with a bloodless field in which to operate. Often, this requires cessation of the circulation for varying amounts of time. Deep hypothermia allows for an extension of the arrest period, while other techniques - retrograde cerebral perfusion and antegrade cerebral perfusion - provide an additional degree of cerebral protection. Recently, we utilized these techniques concurrently on a 43-year-old female who presented for a reoperation for a type I aortic dissection. Combining these techniques allowed us to adequately support the patient during an anticipated lengthy period of circulatory arrest and insured a successful operation without any adverse cerebral or other organ dysfunction.

Original languageEnglish (US)
Pages (from-to)155-159
Number of pages5
JournalPerfusion
Volume15
Issue number2
DOIs
StatePublished - 2000

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging
  • Safety Research
  • Cardiology and Cardiovascular Medicine
  • Advanced and Specialized Nursing

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    Wise, R. K., Wiggs, N. T., Dasilva, M. C., McCoach, R. M., Pae, W. E., Baer, L. D., Hamilton, L. J., Hummer, G. J., Kapp, C. J., & Williams, D. R. (2000). Reoperation for a type I aortic dissection: Case report. Perfusion, 15(2), 155-159. https://doi.org/10.1177/026765910001500211