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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

Copyright

© Mardešić et al; licensee BioMed Central Ltd. 2013

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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