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KMID : 0364019950280080788
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Korean Journal of Thoracic and Cardiovascular Surgery
1995 Volume.28 No. 8 p.788 ~ p.791
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Retrograde Cerebral Perfusion in the Surgical Treatment of Ascending Aortic Aneurysm -Report of 4 Cases-
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Abstract
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Dissecting aortic aneurysm of ascending aorta is a life threatening condition which requires prompt surgical correction. With deep hypothermic circulatory arrest and retrograde cerebral perfusion via superior vena cava, we could replaced
ascending
aorta
in 4 cases safely. All of 4 cases; femoral artery, right auricle were used as cannulation site. The duration of circulatory arrest were 28, 30, 45, 60 minute in each cases and rectal temperature was 20℃ at that time. At the time of retrograde
cerebral
perfusion, we maintained central venous pressure under 25mmHg. We resected all of dissecting portion and replaced it with Hemashield graft. There were no deaths but two of four reoperated because of bleeding.
(Korean J Thorac Cardiovasc Surg 1995;28:788-91)
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KEYWORD
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