Descending thoracic aorta aneurysmectomy: left-left centrifugal pump versus simple clamping technique

P. Biglioli, R. Spirito, G. Pompilio, M. Agrifoglio, A. Sala, V. Arena, E. Sisillo

Research output: Contribution to journalArticle

Abstract

Forty-six patients who had had an elective repair of a descending thoracic aortic aneurysm were reviewed, in order to investigate the efficacy of support by a centrifugal pump on distal organ perfusion and spinal cord protection during cross-clamping of the thoracic aorta. Two concurrent groups were analysed: 36 patients (78%) were supported by left atriofemoral arterial bypass with a centrifugal pump and 10 (22%) had no distal circulatory support. No patient was fully heparinized. The demographic data and preoperative characteristics of the groups, including location and type of aneurysrn, were similar. The mean(s.d.) duration of cross-clamping was 37.8(16) min in the centrifugal pump group and 42.3(21) min in the simple clamping group. Preoperative haemodynamic and laboratory data were similar in both groups. During cross-clamping, parameters of pH and blood urea varied but were better in the centrifugal pump group; changes from pre-intervention to early aortic cross-clamping time were not significant (pH, P

Original languageEnglish
Pages (from-to)511-518
Number of pages8
JournalCardiovascular Surgery
Volume3
Issue number5
DOIs
Publication statusPublished - 1995

Keywords

  • descending thoracic aorta aneurysm
  • distal perfusion
  • left-left centrifugal pump bypass

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Radiology Nuclear Medicine and imaging
  • Surgery

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