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- Open Access
Perfusion and visceral organ protection in patients with thoraco-abdominal aneurysm repair – our experiences
© Mardešić et al; licensee BioMed Central Ltd. 2013
Published: 11 September 2013
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.
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
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.
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.
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