Complex Reconstruction of Supraaortic Branches

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概要

• 論文の詳細を見る

• Objective: The present paper exemplary describes several severe stenoses of supraaortic branches with its symptoms and operative treatments.Methods: Eight patients, two female (68 ± 5 y), six male (73 ± 4 y), were retrospectively evaluated. Patients showed neurological signs as followed: recurring attacks of vertigo (80%), temporary paresis of extremity (20%), speech disorders (20%) and subclavian and/or carotic-steel-syndrome (15%). Seven patients have already been previously treated with revascularization of the supraaortic branches in the past. The surgical techniques used were thrombendarterectomy of the internal carotid artery, carotid-subclavian bypass and complex aorto-truncal, aorto-carotid and aorto-subclavian-bypass.Results: One patient died nine days postoperatively due to myocardial infarction. Mean duration of stay on intensive care unit was 1.5 days. Mean duration of postoperative ventilation was six hours. Average duration of stay on normal ward was nine days.Conclusion: This study presents several complex reconstructions of supraaortic branches, which were indicated in cases with severe stenoses of supraaortic branches. Even though treatment strategies were complex the peri- and postoperative complication rates are quite low. These therapeutic strategies were necessary to avoid severe neurological complications in these patients.

• Annals of Thoracic and Cardiovascular Surgery 編集委員会の論文
• 2011-08-01

著者

• Mirzaie Masoud

  Department Of Thoracic Heart And Vascular Surgery The University Clinics Gottingen

• Friedrich Martin

  Department Of Orthopedic Pain Management Orthopedic Hospital Speising

• Friedrich Martin

  Department Of Thoracic- Cardiac- And Vascular Surgery University Of Goettingen

• FATEHPUR Sheila

  Department of Thoracic-, Cardiac- and Vascular Surgery, University of Goettingen

• SOSSALLA Samuel

  Department of Thoracic-, Cardiac- and Vascular Surgery, University of Goettingen

• SOHNS Christian

  Department of Thoracic-, Cardiac- and Vascular Surgery, University of Goettingen

• SCHOENDUBE Friedrich

  Department of Thoracic-, Cardiac- and Vascular Surgery, University of Goettingen

• SCHMITTO Jan

  Department of Thoracic-, Cardiac- and Vascular Surgery, University of Goettingen

• Schmitto Jan

  Department Of Thoracic- Cardiac- And Vascular Surgery University Of Goettingen

• Schmitto Jan

  Department Of Thoracic Heart And Vascular Surgery University Of Gottingen

• Sossalla Samuel

  Department Of Thoracic- Cardiac- And Vascular Surgery University Of Goettingen

• Sohns Christian

  Department Of Thoracic- Cardiac- And Vascular Surgery University Of Goettingen

• Schoendube Friedrich

  Department Of Thoracic- Cardiac- And Vascular Surgery University Of Goettingen

• Mirzaie Masoud

  Department Of Thoracic- Cardiac- And Vascular Surgery University Of Goettingen

• Fatehpur Sheila

  Department Of Thoracic- Cardiac- And Vascular Surgery University Of Goettingen

• Fatehpur Sheila

  Department Of Thoracic Heart And Vascular Surgery University Of Gottingen

• Schmitto Jan

  Department of Cardiac-, Thoracic-, Transplantation and Vascular Surgery, Hannover Medical School

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