Cargando…

Hypothermic Circulatory Arrest in Median Sternotomy Hemorrhage During Redo Aortic Surgery

INTRODUCTION: This study summarizes the clinical data of patients who developed sternotomy hemorrhage during redo aortic surgery and analyzes the clinical experience of using hypothermic circulatory arrest. METHODS: We retrospectively analyzed the medical records of patients who developed sternotomy...

Descripción completa

Detalles Bibliográficos
Autores principales: Tang, Tiansheng, Wu, Changjuan, Liu, Jianshi, Jian, Kaitao, Liu, Wei, Sheng, Weiyong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sociedade Brasileira de Cirurgia Cardiovascular 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10550102/
https://www.ncbi.nlm.nih.gov/pubmed/37801053
http://dx.doi.org/10.21470/1678-9741-2022-0164
_version_ 1785115461565808640
author Tang, Tiansheng
Wu, Changjuan
Liu, Jianshi
Jian, Kaitao
Liu, Wei
Sheng, Weiyong
author_facet Tang, Tiansheng
Wu, Changjuan
Liu, Jianshi
Jian, Kaitao
Liu, Wei
Sheng, Weiyong
author_sort Tang, Tiansheng
collection PubMed
description INTRODUCTION: This study summarizes the clinical data of patients who developed sternotomy hemorrhage during redo aortic surgery and analyzes the clinical experience of using hypothermic circulatory arrest. METHODS: We retrospectively analyzed the medical records of patients who developed sternotomy hemorrhage during redo aortic surgery from May 2018 to August 2021. General anesthesia with single-lumen tracheal intubation was used. Femoral artery, vein, and superior vena cava cannulation were used if cardiopulmonary bypass was required according to the situation, and right superior vein or apical cannulation was selected for left heart drainage. RESULTS: A total of 11 patients were enrolled in this study, comprising nine males and two females, with an average age of 44.3±16.7 years. All cases were successfully completed without cerebrovascular complications or paraplegia. Two patients died during hospitalization, two patients died during the follow-up after discharge, and the remaining patients are recovering well. CONCLUSION: The femoral-femoral bypass with hypothermic circulatory arrest technique is a safe and reliable method to use in cases of sternotomy hemorrhage during redo aortic surgery.
format Online
Article
Text
id pubmed-10550102
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher Sociedade Brasileira de Cirurgia Cardiovascular
record_format MEDLINE/PubMed
spelling pubmed-105501022023-10-05 Hypothermic Circulatory Arrest in Median Sternotomy Hemorrhage During Redo Aortic Surgery Tang, Tiansheng Wu, Changjuan Liu, Jianshi Jian, Kaitao Liu, Wei Sheng, Weiyong Braz J Cardiovasc Surg Original Article INTRODUCTION: This study summarizes the clinical data of patients who developed sternotomy hemorrhage during redo aortic surgery and analyzes the clinical experience of using hypothermic circulatory arrest. METHODS: We retrospectively analyzed the medical records of patients who developed sternotomy hemorrhage during redo aortic surgery from May 2018 to August 2021. General anesthesia with single-lumen tracheal intubation was used. Femoral artery, vein, and superior vena cava cannulation were used if cardiopulmonary bypass was required according to the situation, and right superior vein or apical cannulation was selected for left heart drainage. RESULTS: A total of 11 patients were enrolled in this study, comprising nine males and two females, with an average age of 44.3±16.7 years. All cases were successfully completed without cerebrovascular complications or paraplegia. Two patients died during hospitalization, two patients died during the follow-up after discharge, and the remaining patients are recovering well. CONCLUSION: The femoral-femoral bypass with hypothermic circulatory arrest technique is a safe and reliable method to use in cases of sternotomy hemorrhage during redo aortic surgery. Sociedade Brasileira de Cirurgia Cardiovascular 2023-09-11 /pmc/articles/PMC10550102/ /pubmed/37801053 http://dx.doi.org/10.21470/1678-9741-2022-0164 Text en https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Tang, Tiansheng
Wu, Changjuan
Liu, Jianshi
Jian, Kaitao
Liu, Wei
Sheng, Weiyong
Hypothermic Circulatory Arrest in Median Sternotomy Hemorrhage During Redo Aortic Surgery
title Hypothermic Circulatory Arrest in Median Sternotomy Hemorrhage During Redo Aortic Surgery
title_full Hypothermic Circulatory Arrest in Median Sternotomy Hemorrhage During Redo Aortic Surgery
title_fullStr Hypothermic Circulatory Arrest in Median Sternotomy Hemorrhage During Redo Aortic Surgery
title_full_unstemmed Hypothermic Circulatory Arrest in Median Sternotomy Hemorrhage During Redo Aortic Surgery
title_short Hypothermic Circulatory Arrest in Median Sternotomy Hemorrhage During Redo Aortic Surgery
title_sort hypothermic circulatory arrest in median sternotomy hemorrhage during redo aortic surgery
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10550102/
https://www.ncbi.nlm.nih.gov/pubmed/37801053
http://dx.doi.org/10.21470/1678-9741-2022-0164
work_keys_str_mv AT tangtiansheng hypothermiccirculatoryarrestinmediansternotomyhemorrhageduringredoaorticsurgery
AT wuchangjuan hypothermiccirculatoryarrestinmediansternotomyhemorrhageduringredoaorticsurgery
AT liujianshi hypothermiccirculatoryarrestinmediansternotomyhemorrhageduringredoaorticsurgery
AT jiankaitao hypothermiccirculatoryarrestinmediansternotomyhemorrhageduringredoaorticsurgery
AT liuwei hypothermiccirculatoryarrestinmediansternotomyhemorrhageduringredoaorticsurgery
AT shengweiyong hypothermiccirculatoryarrestinmediansternotomyhemorrhageduringredoaorticsurgery