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Circulatory Arrest During Profound Hypothermia: For Treatment of Complicated Disease of Major Vessels

Circulatory Arrest During Profound Hypothermia: For Treatment of Complicated Disease of Major... Abstract During the past year the technique of profound perfusion hypothermia with total circulatory arrest to treat four patients with complicated large arteriovenous fistulas and pseudoaneurysms of major arteries has been used. These case histories are presented in detail to illustrate the use of this technique with its advantages and disadvantages. Successful management depends on thorough preoperative preparation which must include accurate arteriographic demonstration of all vascular abnormalities and a comprehensive operative plan. References 1. Schwentker E, Bahnson HT: Total circulatory arrest for the treatment of advanced arteriovenous fistula. Ann Surg, to be published. 2. LeVeen HH, Cerruti MM: Surgery of large inaccessible arteriovenous fistulas . Ann Surg 158:285, 1963.Crossref 3. Mohri H, Barnes RW, Winterscheid LC, et al: Challenge of prolonged suspended animation: A method of surface-induced deep hypothermia . Ann Surg 168:779-787, 1968.Crossref 4. Connolly JE, in discussion, Lillehei CW, Todd DB Jr, Levy MJ, et al: Partial cardiopulmonary bypass hypothermia, and total circulatory arrest . J Thorac Cardiovasc Surg 58:530-544, 1969. 5. Sealy WC, Brown IW Jr, Young WG Jr: A report on the use of both extracorporeal circulation and hypothermia for open heart surgery . Ann Surg 147:603, 1958.Crossref 6. Kirklin JW, Devloo RA: Hypothermic perfusion and circulatory arrest for surgical correction of tetralogy of Fallot with previously constructed Potts' anastomosis . Dis Chest 39:87, 1961.Crossref 7. Uihlein A, Thege RA, Dawson B, et al: The use of profound hypothermia, extracorporeal circulation, and total circulatory arrest for an intracranial aneurysm: Preliminary report with report of cases . Mayo Clin Proc 35:567, 1960. 8. Borst HG, Schaudig A, Rudolph W: Arteriovenous fistula of the aortic arch: Repair during deep hypothermia and circulatory arrest . J Thorac Cardiovasc Surg 48:443, 1964. 9. Lillehei CW, Todd DB, Levy MJ, et al: Partial cardiopulmonary bypass, hypothermia, and total circulatory arrest: A lifesaving technique for ruptured mycotic aortic aneurysm, ruptured left ventricle, and other complicated cardiac pathology . J Thorac Cardiovasc Surg 58:530, 1969. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Circulatory Arrest During Profound Hypothermia: For Treatment of Complicated Disease of Major Vessels

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References (8)

Publisher
American Medical Association
Copyright
Copyright © 1971 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1971.01350080175027
Publisher site
See Article on Publisher Site

Abstract

Abstract During the past year the technique of profound perfusion hypothermia with total circulatory arrest to treat four patients with complicated large arteriovenous fistulas and pseudoaneurysms of major arteries has been used. These case histories are presented in detail to illustrate the use of this technique with its advantages and disadvantages. Successful management depends on thorough preoperative preparation which must include accurate arteriographic demonstration of all vascular abnormalities and a comprehensive operative plan. References 1. Schwentker E, Bahnson HT: Total circulatory arrest for the treatment of advanced arteriovenous fistula. Ann Surg, to be published. 2. LeVeen HH, Cerruti MM: Surgery of large inaccessible arteriovenous fistulas . Ann Surg 158:285, 1963.Crossref 3. Mohri H, Barnes RW, Winterscheid LC, et al: Challenge of prolonged suspended animation: A method of surface-induced deep hypothermia . Ann Surg 168:779-787, 1968.Crossref 4. Connolly JE, in discussion, Lillehei CW, Todd DB Jr, Levy MJ, et al: Partial cardiopulmonary bypass hypothermia, and total circulatory arrest . J Thorac Cardiovasc Surg 58:530-544, 1969. 5. Sealy WC, Brown IW Jr, Young WG Jr: A report on the use of both extracorporeal circulation and hypothermia for open heart surgery . Ann Surg 147:603, 1958.Crossref 6. Kirklin JW, Devloo RA: Hypothermic perfusion and circulatory arrest for surgical correction of tetralogy of Fallot with previously constructed Potts' anastomosis . Dis Chest 39:87, 1961.Crossref 7. Uihlein A, Thege RA, Dawson B, et al: The use of profound hypothermia, extracorporeal circulation, and total circulatory arrest for an intracranial aneurysm: Preliminary report with report of cases . Mayo Clin Proc 35:567, 1960. 8. Borst HG, Schaudig A, Rudolph W: Arteriovenous fistula of the aortic arch: Repair during deep hypothermia and circulatory arrest . J Thorac Cardiovasc Surg 48:443, 1964. 9. Lillehei CW, Todd DB, Levy MJ, et al: Partial cardiopulmonary bypass, hypothermia, and total circulatory arrest: A lifesaving technique for ruptured mycotic aortic aneurysm, ruptured left ventricle, and other complicated cardiac pathology . J Thorac Cardiovasc Surg 58:530, 1969.

Journal

Archives of Surgery – American Medical Association

Published: Aug 1, 1971

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