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Related Experiment Videos

Aortic arch repairs through three different approaches.

H Ogino1, Y Ueda, T Sugita

  • 1Department of Cardiovascular Surgery, National Cardiovascular Center, 5-7-1 Fujishirodai, Suita, 565-8565, Osaka, Japan.ogino@hsp.ncvc.go.jp

European Journal of Cardio-Thoracic Surgery : Official Journal of the European Association for Cardio-Thoracic Surgery
|February 13, 2001
PubMed
Summary
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Aortic arch repair outcomes were reviewed for three surgical approaches. The left antero-lateral approach demonstrated superior results, with no cerebral dysfunction or deaths, unlike other methods.

Area of Science:

  • Cardiovascular Surgery
  • Thoracic Surgery
  • Vascular Surgery

Background:

  • Aortic arch aneurysms require complex surgical repair.
  • Evaluating different surgical approaches is crucial for improving patient outcomes.
  • Minimizing complications like cerebral dysfunction is a primary goal.

Purpose of the Study:

  • To compare the outcomes of three distinct surgical approaches for aortic arch repair.
  • To assess the safety and efficacy of each approach in preventing cerebral dysfunction and mortality.
  • To identify the optimal surgical strategy for aortic arch aneurysm repair.

Main Methods:

  • A retrospective review of 39 patients undergoing aortic arch repair between 1990 and 2000.
  • Comparison of three surgical approaches: median, left postero-lateral, and left antero-lateral.

Related Experiment Videos

  • Utilized profound hypothermic circulatory arrest and retrograde cerebral perfusion for brain protection.

    • Main Results:

    • The left antero-lateral approach resulted in zero instances of cerebral dysfunction, early death, or late death.
    • The median and left postero-lateral approaches were associated with permanent cerebral dysfunction and mortality.
    • All patients underwent open aortic anastomosis without aortic arch clamping.

    Conclusions:

    • The left antero-lateral approach is a safe and effective method for aortic arch repair.
    • This approach simplifies the procedure, regardless of aneurysm extension.
    • Profound hypothermic circulatory arrest with retrograde cerebral perfusion is a viable brain protection strategy.