Kipfer B, Leupi F, Althaus U
Universitätsklinik für Thorax- Herz- und Gefässchirurgie, Inselspital Bern.
Helv Chir Acta. 1990 Oct;57(2):229-32.
In the period between 1981 and 1988, 51 patients were operated on the thoracic aorta using the hypothermic circulatory arrest technique. 31 patients had a dissection of the thoracic aorta, in 16 cases, an aneurysm was the reason for the intervention. In addition, we used the hypothermic circulatory arrest for a thrombectomy in the aortic arch and two mitral-valve replacements. The following operations were performed: 14 x composite graft, 19 x supracoronar prosthesis (6 x with aortic valve replacement, 3 x with partial replacement of aortic arch), 17 operations were performed either for aortic arch or aorta descendens replacement. In our retrospective study, 7 courses were fata (14%), 3 patients had complications with residuals. Compared with a group of 105 patients operated on the thoracic aorta in the same period without circulatory arrest, we found no difference with regard to the lethality and morbidity. We conclude that the hypothermic circulatory arrest is a safe technique for selected problems in cardiovascular surgery in adults.
在1981年至1988年期间，51例患者采用低温循环停止技术接受了胸主动脉手术。31例患者患有胸主动脉夹层，16例患者因动脉瘤接受干预。此外，我们还在主动脉弓血栓切除术和两次二尖瓣置换术中使用了低温循环停止技术。进行了以下手术：14例复合移植物手术，19例冠状动脉上假体手术（6例同时置换主动脉瓣，3例部分置换主动脉弓），17例手术为主动脉弓或降主动脉置换术。在我们的回顾性研究中，7例患者死亡（14%），3例患者有并发症残留。与同期105例未进行循环停止的胸主动脉手术患者相比，我们发现在死亡率和发病率方面没有差异。我们得出结论，低温循环停止对于成人心血管手术中某些特定问题是一种安全的技术。
