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KMID : 0364020080410010061
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Korean Journal of Thoracic and Cardiovascular Surgery
2008 Volume.41 No. 1 p.61 ~ p.67
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Endovascular Aortic Balloon Clamping for Various Heart Disease
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Choi Jin-Ho
Park Pyo-Won
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Abstract
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Background : Conventional ascending aortic cross clamping is often limited. This study was carried out to evaluate the safety and efficacy of an endovascular aortic clamping technique with an intraaortic balloon catheter.
Materials & Methods : From April 2004 to January 2007, surgery with endoaortic clamping was performed in seven patients. A retrograde access perfusion (RAP) catheter was used in six patients and a Pruitt’s balloon catheter in two patients. The indication for the operation was a retrosternal pseudoaneurysm of the aortic root in six patients, diffuse calcification of the ascending aorta with aortic regurgitation in 2 patients and an atrial septal defect in one patient. Five patients had at least two prior cardiac surgeries.
Results : Successful insertion of the catheter and endoaortic clamping was achieved in all patients.
Conclusion : The endovascular aortic clamping technique with a balloon catheter was a useful alternative method for patients in whom conventional cardiac surgery was limited. (Korean J Thorac Cardiovasc Surg 2008;41:61-67)
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KEYWORD
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Retrograde perfusion, , Cardiopulmonary bypass, , Aneurysm, false, , Minimal invasive surgery, , Balloon occlusion
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