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

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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.

Author information

Correspondence to P Mardešić.

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This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Cite this article

Mardešić, P., Zovko, D., Milković, M. et al. Perfusion and visceral organ protection in patients with thoraco-abdominal aneurysm repair – our experiences. J Cardiothorac Surg 8, O216 (2013). https://doi.org/10.1186/1749-8090-8-S1-O216

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Keywords

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