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  • Oral presentation
  • Open Access

Perfusion and visceral organ protection in patients with thoraco-abdominal aneurysm repair – our experiences

  • 1Email author,
  • 1,
  • 1,
  • 1,
  • 1,
  • 1,
  • 1 and
  • 1
Journal of Cardiothoracic Surgery20138 (Suppl 1) :O216

https://doi.org/10.1186/1749-8090-8-S1-O216

  • Published:

Keywords

  • Paraplegia
  • Visceral Organ
  • Observational Analysis
  • Perfusion Technique
  • Organ Protection

Background

We report our experience with 8 patients with thoraco-abdominal aneurysm repair in period of 30 months (June 2010 till December 2012), in MAGDALENA - Clinic for Cardiovascular Diseases, Medical University of Osijek.

Methods

We conducted a retrospective observational analysis of our experience with different approaches and perfusion techniques in patients with thoraco-abdominal aneurysm.
  • Group 1: 3 patients: aortic cross-clamp, with left heart bypass, without selective organ perfusion

  • Group 2: 2 patients: aortic cross-clamp, without left heart bypass, selective organ perfusion

  • Group 3: 1 patient: aortic cross-clamp, with left heart bypass, selective organ perfusion

  • Group 4: 2 patients: aortic cross-clamp, without left heart bypass, without selective organ perfusion

Results

Between June 2010 and December 2012, we performed 8 patients with zero mortality and one late post-operative complication, paraplegia after 48 hours. Left heart bypass duration 57 ± 14 minutes, aortic cross-clamp time duration 48 ± 13 minutes, median ICU stay was 95 hours, average hospital stay was 12 ± 3 days.

Conclusions

Thoraco-abdominal aneurysm repair with appropriate choice of operative technique and possibility of using left heart bypass and/or selective organ protection provides good results by means of no mortality and low rate of postoperative complications and morbidity.

Authors’ Affiliations

(1)
Magdalena – Clinic for Cardiovascular Diseases, Cardiosurgery Department, Cardiovascular Perfusion Unit, Medical University of Osijek, Krapinske Toplice, Croatia

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