Management of cardiopulmonary bypass in hybrid operation of aortic dissection
Wang Xue-yan
Li Quan-zheng
Abstract：Objective To review the experience of cardiopulmonary bypass(CPB) management in the hybrid procedures of aortic dissection.Methods From January 2014 to December 2015,18 patients with aortic dissection underwent hybrid operation.Mild hypothermia and conventional flow CPB were performed.According to the operation requirments,a transient CPB stop might be used,at the same time selective brain and right upper limb regional perfusion were applied.After weaning from CPB,thoracic endovascular aortic repair(TEVAR) began.Results CPB time,aortic crossclamp time and circulatory arrest time were 76-253(152.88±47.29) mins,32-146(84.22±33.16) mins and 0-7(1.50±2.25) mins,repectively.The lowest nasopharyngeal temperature was 30℃-32℃.Postoperatively 1 case (5.5％) died of myocardial infarction,the other 17 cases were cured.Conclusion Mild hypothermia CPB is safe and reliable for aortic dissection surgery.It is helpful to the safety of perioperative patients with cooperation by perfusionists,surgeons and anesthetists.
Keywords：Aortic dissectionHybrid procedureCardiopulmonary bypassBrain protectionTeamwork
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 166-168 )