Hypothermic circulatory arrest for aortic dissection with cryoglobulinemia
Cryoglobulinemia is a cold‐reactive autoimmune disease. A 64‐year‐old man with active cryoglobulinemia presented Stanford type A acute aortic dissection. He had been treated with immunosuppressive drugs and plasma exchange (PE) at our hospital; subsequently, qualitative analysis of cryoglobulin (CG)...
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| Veröffentlicht in: | Journal of cardiac surgery 2020-11, Vol.35 (11), p.3169-3172 |
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| container_issue | 11 |
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| container_title | Journal of cardiac surgery |
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| creator | Yamazaki, Kazuhiro Minatoya, Kenji Sakamoto, Kazuhisa Kitagori, Koji Okuda, Masanori Murakami, Kosaku |
| description | Cryoglobulinemia is a cold‐reactive autoimmune disease. A 64‐year‐old man with active cryoglobulinemia presented Stanford type A acute aortic dissection. He had been treated with immunosuppressive drugs and plasma exchange (PE) at our hospital; subsequently, qualitative analysis of cryoglobulin (CG) was negative. He underwent emergency ascending aorta replacement using cardiopulmonary bypass (CPB) under deep hypothermia circulatory arrest with selective cerebral perfusion. The total CPB time, aortic cross‐clamp time, and selective cerebral perfusion time were 255, 153, 56 minutes, respectively, and the minimal nasopharyngeal temperature was 17.3°C. Our patient had no significant perioperative complications. Hence, if PE is performed appropriately and CG is negative, patients with cryoglobulinemia who exhibit severe preoperative symptoms can safely undergo surgery with deep hypothermia. |
| doi_str_mv | 10.1111/jocs.14908 |
| format | Article |
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A 64‐year‐old man with active cryoglobulinemia presented Stanford type A acute aortic dissection. He had been treated with immunosuppressive drugs and plasma exchange (PE) at our hospital; subsequently, qualitative analysis of cryoglobulin (CG) was negative. He underwent emergency ascending aorta replacement using cardiopulmonary bypass (CPB) under deep hypothermia circulatory arrest with selective cerebral perfusion. The total CPB time, aortic cross‐clamp time, and selective cerebral perfusion time were 255, 153, 56 minutes, respectively, and the minimal nasopharyngeal temperature was 17.3°C. Our patient had no significant perioperative complications. Hence, if PE is performed appropriately and CG is negative, patients with cryoglobulinemia who exhibit severe preoperative symptoms can safely undergo surgery with deep hypothermia.</description><identifier>ISSN: 0886-0440</identifier><identifier>EISSN: 1540-8191</identifier><identifier>DOI: 10.1111/jocs.14908</identifier><identifier>PMID: 32725644</identifier><language>eng</language><publisher>United States</publisher><subject>Aneurysm, Dissecting - complications ; Aneurysm, Dissecting - surgery ; Aorta - surgery ; Blood Vessel Prosthesis Implantation - methods ; Cardiopulmonary Bypass ; Circulatory Arrest, Deep Hypothermia Induced - methods ; cryoglobulin ; cryoglobulinemia ; Cryoglobulinemia - complications ; Cryoglobulinemia - embryology ; Cryoglobulinemia - therapy ; deep hypothermia ; Humans ; Immunosuppressive Agents - therapeutic use ; Male ; Middle Aged ; Plasma Exchange ; Postoperative Complications - prevention & control ; Treatment Outcome</subject><ispartof>Journal of cardiac surgery, 2020-11, Vol.35 (11), p.3169-3172</ispartof><rights>2020 Wiley Periodicals LLC</rights><rights>2020 Wiley Periodicals LLC.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3328-cfc177cde9756d3ed2da134f2e80e57c378dc943b1e1ccab45aa76723ee286413</citedby><cites>FETCH-LOGICAL-c3328-cfc177cde9756d3ed2da134f2e80e57c378dc943b1e1ccab45aa76723ee286413</cites><orcidid>0000-0002-5569-0446</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjocs.14908$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjocs.14908$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32725644$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yamazaki, Kazuhiro</creatorcontrib><creatorcontrib>Minatoya, Kenji</creatorcontrib><creatorcontrib>Sakamoto, Kazuhisa</creatorcontrib><creatorcontrib>Kitagori, Koji</creatorcontrib><creatorcontrib>Okuda, Masanori</creatorcontrib><creatorcontrib>Murakami, Kosaku</creatorcontrib><title>Hypothermic circulatory arrest for aortic dissection with cryoglobulinemia</title><title>Journal of cardiac surgery</title><addtitle>J Card Surg</addtitle><description>Cryoglobulinemia is a cold‐reactive autoimmune disease. A 64‐year‐old man with active cryoglobulinemia presented Stanford type A acute aortic dissection. He had been treated with immunosuppressive drugs and plasma exchange (PE) at our hospital; subsequently, qualitative analysis of cryoglobulin (CG) was negative. He underwent emergency ascending aorta replacement using cardiopulmonary bypass (CPB) under deep hypothermia circulatory arrest with selective cerebral perfusion. The total CPB time, aortic cross‐clamp time, and selective cerebral perfusion time were 255, 153, 56 minutes, respectively, and the minimal nasopharyngeal temperature was 17.3°C. Our patient had no significant perioperative complications. Hence, if PE is performed appropriately and CG is negative, patients with cryoglobulinemia who exhibit severe preoperative symptoms can safely undergo surgery with deep hypothermia.</description><subject>Aneurysm, Dissecting - complications</subject><subject>Aneurysm, Dissecting - surgery</subject><subject>Aorta - surgery</subject><subject>Blood Vessel Prosthesis Implantation - methods</subject><subject>Cardiopulmonary Bypass</subject><subject>Circulatory Arrest, Deep Hypothermia Induced - methods</subject><subject>cryoglobulin</subject><subject>cryoglobulinemia</subject><subject>Cryoglobulinemia - complications</subject><subject>Cryoglobulinemia - embryology</subject><subject>Cryoglobulinemia - therapy</subject><subject>deep hypothermia</subject><subject>Humans</subject><subject>Immunosuppressive Agents - therapeutic use</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Plasma Exchange</subject><subject>Postoperative Complications - prevention & control</subject><subject>Treatment Outcome</subject><issn>0886-0440</issn><issn>1540-8191</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kL1OwzAURi0EoqWw8AAoM1KK_xI7I6qAUlXqAMyRc3NDXSV1ZSeq8vakBBi5yzfcozMcQm4ZnbPhHnYOwpzJjOozMmWJpLFmGTsnU6p1GlMp6YRchbCjlHMp6CWZCK54kko5Jatlf3DtFn1jIQLroatN63wfGe8xtFHlfGScb4dvaUNAaK3bR0fbbiPwvfusXdHVdo-NNdfkojJ1wJufnZGP56f3xTJeb15eF4_rGITgOoYKmFJQYqaStBRY8tIwISuOmmKiQChdQiZFwZABmEImxqhUcYHIdSqZmJH70QveheCxyg_eNsb3OaP5KUh-CpJ_BxnguxE-dEWD5R_6W2AA2AgcbY39P6p8tVm8jdIvYtBtdA</recordid><startdate>202011</startdate><enddate>202011</enddate><creator>Yamazaki, Kazuhiro</creator><creator>Minatoya, Kenji</creator><creator>Sakamoto, Kazuhisa</creator><creator>Kitagori, Koji</creator><creator>Okuda, Masanori</creator><creator>Murakami, Kosaku</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><orcidid>https://orcid.org/0000-0002-5569-0446</orcidid></search><sort><creationdate>202011</creationdate><title>Hypothermic circulatory arrest for aortic dissection with cryoglobulinemia</title><author>Yamazaki, Kazuhiro ; Minatoya, Kenji ; Sakamoto, Kazuhisa ; Kitagori, Koji ; Okuda, Masanori ; Murakami, Kosaku</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3328-cfc177cde9756d3ed2da134f2e80e57c378dc943b1e1ccab45aa76723ee286413</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Aneurysm, Dissecting - complications</topic><topic>Aneurysm, Dissecting - surgery</topic><topic>Aorta - surgery</topic><topic>Blood Vessel Prosthesis Implantation - methods</topic><topic>Cardiopulmonary Bypass</topic><topic>Circulatory Arrest, Deep Hypothermia Induced - methods</topic><topic>cryoglobulin</topic><topic>cryoglobulinemia</topic><topic>Cryoglobulinemia - complications</topic><topic>Cryoglobulinemia - embryology</topic><topic>Cryoglobulinemia - therapy</topic><topic>deep hypothermia</topic><topic>Humans</topic><topic>Immunosuppressive Agents - therapeutic use</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Plasma Exchange</topic><topic>Postoperative Complications - prevention & control</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yamazaki, Kazuhiro</creatorcontrib><creatorcontrib>Minatoya, Kenji</creatorcontrib><creatorcontrib>Sakamoto, Kazuhisa</creatorcontrib><creatorcontrib>Kitagori, Koji</creatorcontrib><creatorcontrib>Okuda, Masanori</creatorcontrib><creatorcontrib>Murakami, Kosaku</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><jtitle>Journal of cardiac surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yamazaki, Kazuhiro</au><au>Minatoya, Kenji</au><au>Sakamoto, Kazuhisa</au><au>Kitagori, Koji</au><au>Okuda, Masanori</au><au>Murakami, Kosaku</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Hypothermic circulatory arrest for aortic dissection with cryoglobulinemia</atitle><jtitle>Journal of cardiac surgery</jtitle><addtitle>J Card Surg</addtitle><date>2020-11</date><risdate>2020</risdate><volume>35</volume><issue>11</issue><spage>3169</spage><epage>3172</epage><pages>3169-3172</pages><issn>0886-0440</issn><eissn>1540-8191</eissn><abstract>Cryoglobulinemia is a cold‐reactive autoimmune disease. A 64‐year‐old man with active cryoglobulinemia presented Stanford type A acute aortic dissection. He had been treated with immunosuppressive drugs and plasma exchange (PE) at our hospital; subsequently, qualitative analysis of cryoglobulin (CG) was negative. He underwent emergency ascending aorta replacement using cardiopulmonary bypass (CPB) under deep hypothermia circulatory arrest with selective cerebral perfusion. The total CPB time, aortic cross‐clamp time, and selective cerebral perfusion time were 255, 153, 56 minutes, respectively, and the minimal nasopharyngeal temperature was 17.3°C. Our patient had no significant perioperative complications. Hence, if PE is performed appropriately and CG is negative, patients with cryoglobulinemia who exhibit severe preoperative symptoms can safely undergo surgery with deep hypothermia.</abstract><cop>United States</cop><pmid>32725644</pmid><doi>10.1111/jocs.14908</doi><tpages>4</tpages><orcidid>https://orcid.org/0000-0002-5569-0446</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Aneurysm, Dissecting - complications Aneurysm, Dissecting - surgery Aorta - surgery Blood Vessel Prosthesis Implantation - methods Cardiopulmonary Bypass Circulatory Arrest, Deep Hypothermia Induced - methods cryoglobulin cryoglobulinemia Cryoglobulinemia - complications Cryoglobulinemia - embryology Cryoglobulinemia - therapy deep hypothermia Humans Immunosuppressive Agents - therapeutic use Male Middle Aged Plasma Exchange Postoperative Complications - prevention & control Treatment Outcome |
| title | Hypothermic circulatory arrest for aortic dissection with cryoglobulinemia |
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