ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Retrograde Venous Total Body Perfusion Technique in Chronic Aortic Dissection
Bahadır DAĞLAR, Gökhan İPEK, Mehmet Balkanay, Kaan Kırali, Tuncer KOÇAK, Esat AKINCI, Ömer IŞIK, Cevat YAKUT
Koşuyolu Kalp ve Araştırma Hastanesi, İstanbul
Deep hypothermia and total circulatory arrest procedure are the standard surgical technique in ascending and arcus aorta aneursyms and dissection. Still the complications secondary to this technique exist. Recently retrograde venous total body perfusion (RVBP) technique provides enough time during surgical correction and prevents complications. In Koşuyolu Heart and Research Hospital between 1985 and 1996, intrathoracic aortic aneurysms and / or dissection were treated by using the technique without clamp in 59 patients. RVTBP was used for without clamp in 59 patients. RVTBP was used for cerebral visseral protection in 39 chronic cases. Type Stanford A dissection was determined in 39 cases. Myocardial protection was carried out by the technique we developed isohermic retrograde continous blood cardioplegia. The hospital mortality rate was 15.3 % (6 cases). Neurological complications was 5.12 % (2 cases) who had stroke before operation. The late mortality was 3 % (1 case), 23 of cases of 32 survival patients were found in NYHA class I in postoperatively. In conclusion, RVTBP technique demonstrated superiority over the other techiques in aortic surgery.
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