KMID : 0364019960290040449
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Korean Journal of Thoracic and Cardiovascular Surgery 1996 Volume.29 No. 4 p.449 ~ p.453
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Thoracoabdominal Aortic Aneurysm Repair after Renal Trasplantation
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Abstract
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A successful resection of dissecting thoracoabdominal aortic aneurysm in presented in a patient who had undergone kidney transplantation 20 months previously. Because the transplanted kidney is more sensitive to ischemia than normal kidney, a
femoro-femoral bypass with a pump oxygeator was used for perfusion of the transplanted kidney during crossclamping.
During the clamping time of 138 minutes, kidney perfusion was maintained with a perfusion pressure of (19 to 31) 27mmHg and the flow was 0.53 to 0.81L/min. 32mm sized Hemashield (22 Cm in length) was interposed. The postoperative course was
uncomplicated. We believe that performing the femorfemoral bypass with a pump oxygenator is an effective and simple method for renal and spinal protection in such operations.
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KEYWORD
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