The experience of cardiopulmonary bypass management of aortic arch surgery in neonates
Wu Yong-hong
Sun Shan-quan
Yao Shi-wen
Kong Juan-juan
Abstract：Objective The aim of the study was to examine the management and the experience of cardiopulmonary bypass ( CPB) in one stage repair of interrupted aortic arch or aortic coarctation with intracardiac defects in neonates. Methods One stage re?pair were performed in 14 neonates with interrupted aortic arch( IAA) or aortic coarctation( CoA) with other intracardiac defects from September 2014 to July 2015. The cases included 6 neonates with aortic coarctation of aortic arch and 8 with IAA. Median age was 17 (3-30) days. Median weight was 3.06(2.1-4.2)kg. Results Deep hypothermia circulatory arrest(DHCA) was used in all cases. The median CPB time 141(66-410) min, median DHCA time was 17(15-30) min, and aortic cross clamping time was 60(32-134)min, and continuous CPB time 69(28-284)min. All the cases were weaned from CPB successfully without modified ultrafiltration and perito?neal dialysis. The postoperative complication occurred in 2 cases with delayed sternal closure. Conclusion It is important to intensify the total process of CPB management in the neonates to ensure surgical safety, especially the management of DHCA.
Keywords：NonatesAortic coarctationInterruption of aortic archCardiopulmonary bypass
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 216-218 )