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KMID : 0387519940040010211
Journal of Maryknoll Hospital
1994 Volume.4 No. 1 p.211 ~ p.218
Anesthetic Management for Surgery of the Descending Aortic Aneurysm
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Abstract
The rupture of the aorta commonly follows major trauma to the thorax. It was markedly increased in recent years, paralleling the rising number of vehicular accidents.
The patients underwent surgical with femoro-femoral partial bypass 40 days after injury. The anesthesia for descending aortic surgery presented problems involving large hemodynamic alterations during thoracic aortic cross-clamping, protection of
the
heart and brain from large increases in pressure occuring above the cross clamp, and prevention of spinal cord and renal ischemic damage below the cross-clamp. One lung ventilation was also employed with this anesthetic technique.
A 23 years old male patient with traumatic aneurysm of descending thoracic aorta was treated successfully.
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