Aortic arch replacement and elephant trunk procedure: an intersisciplinary approach to surgical reconstruction, perfusion stategies and blood management.

08:17 EDT 1st October 2014 | BioPortfolio

Summary of "Aortic arch replacement and elephant trunk procedure: an intersisciplinary approach to surgical reconstruction, perfusion stategies and blood management."

Surgical treatment of patients who present with large aneurysms of the ascending aorta, transverse arch and descending aorta, including the thoracic and abdominal aorta typically consists of a two-staged elephant trunk procedure. Typically, these operations are lengthy, requiring long cardiopulmonary bypass times, deep hypothermic circulatory arrest and multiple anastamotic suture lines, which increases the risks for coagulopathic bleeding and the need for massive transfusions. The purpose of this report is to describe our approach, involving advanced surgical techniques and the innovative perfusion considerations as well as modified blood management strategies to minimize perioperative blood loss and the need for transfusions. All of the above will highlight critical cardiac team communications. An ever-evolving case requires forward thinking, revised judgments, open discussion and the continued involvement of all team members. In turn, this ensures evidence-based medical and perfusion practices that lead to achieving a positive peri-operative course, with optimal blood conservation.

Affiliation

Clinical Perfusion Services, London Health Sciences Centre, London, Ontario, Canada.

Journal Details

This article was published in the following journal.

Name: Perfusion
ISSN: 1477-111X
Pages:

Links

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A cardiovascular procedure performed to create a blood supply to the PULMONARY CIRCULATION. It involves making a connection between the subclavian, or carotid branch of the AORTA, or the AORTIC ARCH to the PULMONARY ARTERY.

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