Revascularization without Embolization: Coronary Bypass in the Presence of a Calcified Aorta

The densely calcified ascending aorta presents a formidable challenge to the cardiac surgeon. Clamping such an aorta in the patient requiring myocardial revascularization may result in catastrophic cerebral embolism and mar an otherwise successful surgical outcome. Myocardial revascularization using...

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Veröffentlicht in:	The Annals of thoracic surgery 1985-09, Vol.40 (3), p.308-310
Hauptverfasser:	Holland, David L., Hieb, Robert E.
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged Anesthesia Anesthesia depending on type of surgery Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Aorta Aortic Diseases - surgery Biological and medical sciences Calcinosis - surgery Constriction Coronary Disease - surgery Female Humans Hypothermia, Induced Intracranial Embolism and Thrombosis - prevention & control Male Medical sciences Myocardial Revascularization Postoperative Complications - prevention & control Thoracic and cardiovascular surgery. Cardiopulmonary bypass
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Beschreibung
Zusammenfassung:	The densely calcified ascending aorta presents a formidable challenge to the cardiac surgeon. Clamping such an aorta in the patient requiring myocardial revascularization may result in catastrophic cerebral embolism and mar an otherwise successful surgical outcome. Myocardial revascularization using ventricular fibrillation and hypothermia without aortic cross-clamping in 3 patients with severely calcified aortas is described.
ISSN:	0003-4975 1552-6259
DOI:	10.1016/S0003-4975(10)60051-3