Presentation is loading. Please wait.

Presentation is loading. Please wait.

Straight Deep Hypothermic Arrest: Experience in 394 Patients Supports Its Effectiveness as a Sole Means of Brain Preservation  Arjet Gega, MD, John A.

Published byJonathan Green Modified over 5 years ago

Similar presentations

Presentation on theme: "Straight Deep Hypothermic Arrest: Experience in 394 Patients Supports Its Effectiveness as a Sole Means of Brain Preservation  Arjet Gega, MD, John A."— Presentation transcript:

1 Straight Deep Hypothermic Arrest: Experience in 394 Patients Supports Its Effectiveness as a Sole Means of Brain Preservation  Arjet Gega, MD, John A. Rizzo, PhD, Michele H. Johnson, MD, Maryann Tranquilli, RN, Emily A. Farkas, MD, John A. Elefteriades, MD  The Annals of Thoracic Surgery  Volume 84, Issue 3, Pages (September 2007) DOI: /j.athoracsur Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Distribution of cases in years. Distribution of all cases in which straight deep hypothermic circulatory arrest was used at our institution from 1997 to 2006. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Distribution of deep hypothermic circulatory arrest (DHCA) time. Total time in minutes that each patient was exposed to straight DHCA at our institution (mean, 31 minutes; range, 10 to 61 min). The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Multiple embolic infarctions. Multiple hypodensities in the infratentorial and supratentorial regions are characteristic of embolic infarctions, as seen here in the (A) cerebellum (arrows), (B) occipital lobe, posterior cerebral artery (PCA) territory (arrows), and (C) the frontoparietal region (arrow), anterior cerebral artery circulation (ACA). The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 Infarctions secondary to anoxia are manifested by watershed zones between major vascular territories. Hypoperfusion is suggested by the watershed hypodensities (arrows) shown here in A and B, as well as by the basal ganglia hypodensity noted in C. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

6 Fig 5 Alternate technique (shown on right, B) that facilitates arch replacement by limiting the arch anastomosis to a single, small pedicle. The left subclavian artery is connected with a separate small caliber graft during rewarming or after bypass (arrow). We find this alternate technique more expedient than the traditional method shown on the left (A). The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

Download ppt "Straight Deep Hypothermic Arrest: Experience in 394 Patients Supports Its Effectiveness as a Sole Means of Brain Preservation  Arjet Gega, MD, John A."

Similar presentations

Mauer Biscotti, MD, Matthew Bacchetta, MD 

Mauer Biscotti, MD, Matthew Bacchetta, MD 
Manuel Caceres, MD, Darryl S. Weiman, MD, JD 

Manuel Caceres, MD, Darryl S. Weiman, MD, JD 
Michael Kalina, DO, Frederick Giberson, MD 

Michael Kalina, DO, Frederick Giberson, MD 
In DeBakey Type I Aortic Dissection, Bovine Aortic Arch Is Associated With Arch Tears and Stroke  Julia Dumfarth, MD, PhD, Sven Peterss, MD, Markus Kofler,

In DeBakey Type I Aortic Dissection, Bovine Aortic Arch Is Associated With Arch Tears and Stroke  Julia Dumfarth, MD, PhD, Sven Peterss, MD, Markus Kofler,
Arterial Switch Operation for Transposition of the Great Arteries With Coronary Arteries From a Single Aortic Sinus  Si Chan Sung, MD, Yun Hee Chang,

Arterial Switch Operation for Transposition of the Great Arteries With Coronary Arteries From a Single Aortic Sinus  Si Chan Sung, MD, Yun Hee Chang,
Does Cross-Clamping the Arch Increase the Risk of Descending Thoracic and Thoracoabdominal Aneurysm Repair?  Leonard N. Girardi, MD, Karl H. Krieger,

Does Cross-Clamping the Arch Increase the Risk of Descending Thoracic and Thoracoabdominal Aneurysm Repair?  Leonard N. Girardi, MD, Karl H. Krieger,
Clinically Silent Cerebral Ischemic Events After Cardiac Surgery: Their Incidence, Regional Vascular Occurrence, and Procedural Dependence  Thomas F.

Clinically Silent Cerebral Ischemic Events After Cardiac Surgery: Their Incidence, Regional Vascular Occurrence, and Procedural Dependence  Thomas F.
New Subclavian Artery Angioplasty Technique for Treating Subclavian Coronary Steal Syndrome  Gianluca Rigatelli, MD, Paolo Cardaioli, MD, Massimo Giordan,

New Subclavian Artery Angioplasty Technique for Treating Subclavian Coronary Steal Syndrome  Gianluca Rigatelli, MD, Paolo Cardaioli, MD, Massimo Giordan,
Left Subclavian Artery Stenosis in Coronary Artery Bypass: Prevalence and Revascularization Strategies  Ho Young Hwang, MD, Jin Hyun Kim, MD, Whal Lee,

Left Subclavian Artery Stenosis in Coronary Artery Bypass: Prevalence and Revascularization Strategies  Ho Young Hwang, MD, Jin Hyun Kim, MD, Whal Lee,
Long-Term Consequences of Postoperative Heart Failure After Surgery for Aortic Stenosis Compared With Coronary Surgery  Farkas B. Vánky, MD, PhD, Erik.

Long-Term Consequences of Postoperative Heart Failure After Surgery for Aortic Stenosis Compared With Coronary Surgery  Farkas B. Vánky, MD, PhD, Erik.
Coronary Bypass Grafting to a “Full-Metal Jacket” Left Anterior Descending Artery  María J. Mataró, MD, Gemma Sánchez-Espín, MD, Carlos Porras, MD, José.

Coronary Bypass Grafting to a “Full-Metal Jacket” Left Anterior Descending Artery  María J. Mataró, MD, Gemma Sánchez-Espín, MD, Carlos Porras, MD, José.
Total Arch Replacement Under Normothermic Beating Heart Surgery

Total Arch Replacement Under Normothermic Beating Heart Surgery
Cerebral Air Embolism as a Result of Inducing Pneumoperitoneum After Bilobectomy  Hak Young Rhee, MD, Dae Hyun Kim, MD, Young Tae Kwak, MD, Jae Woo Lee,

Cerebral Air Embolism as a Result of Inducing Pneumoperitoneum After Bilobectomy  Hak Young Rhee, MD, Dae Hyun Kim, MD, Young Tae Kwak, MD, Jae Woo Lee,
Repair of Circumflex Aortic Arch in an Adult

Repair of Circumflex Aortic Arch in an Adult
Total Arch Replacement Under Flow Monitoring During Selective Cerebral Perfusion Using a Single Pump  Hideyuki Shimizu, MD, PhD, Toru Matayoshi, CP, Masanori.

Total Arch Replacement Under Flow Monitoring During Selective Cerebral Perfusion Using a Single Pump  Hideyuki Shimizu, MD, PhD, Toru Matayoshi, CP, Masanori.
The Society of Thoracic Surgeons Thoracic Surgery Practice and Access Task Force: 2014 Workforce Report  John S. Ikonomidis, MD, PhD  The Annals of Thoracic.

The Society of Thoracic Surgeons Thoracic Surgery Practice and Access Task Force: 2014 Workforce Report  John S. Ikonomidis, MD, PhD  The Annals of Thoracic.
Lindsay C.H. John, MD, FRCS  The Annals of Thoracic Surgery 

Lindsay C.H. John, MD, FRCS  The Annals of Thoracic Surgery 
Infected splenic artery aneurysm with associated splenic abscess formation secondary to bacterial endocarditis: Case report and review of the literature 

Infected splenic artery aneurysm with associated splenic abscess formation secondary to bacterial endocarditis: Case report and review of the literature 
Stroke after cardiac surgery: short- and long-term outcomes

Stroke after cardiac surgery: short- and long-term outcomes
Robotic-Assisted Coronary Artery Bypass on a Beating Heart: Initial Experience and Implications for the Future  William F. Turner, MD, John H. Sloan,

Robotic-Assisted Coronary Artery Bypass on a Beating Heart: Initial Experience and Implications for the Future  William F. Turner, MD, John H. Sloan,

Similar presentations

Ads by Google