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Vascular and Endovascular Surgery
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Decreasing the Risk of Aortic Arch Replacement

H.H. Scheld

Department of Cardiovascular Surgery and the Department of Anesthesiology, Justus-Liebig-University, Giessen, West Germany

G. Görlach

Department of Cardiovascular Surgery and the Department of Anesthesiology, Justus-Liebig-University, Giessen, West Germany

J. Boldt

Department of Cardiovascular Surgery and the Department of Anesthesiology, Justus-Liebig-University, Giessen, West Germany

F. Dapper

Department of Cardiovascular Surgery and the Department of Anesthesiology, Justus-Liebig-University, Giessen, West Germany

R. Moosdorf

Department of Cardiovascular Surgery and the Department of Anesthesiology, Justus-Liebig-University, Giessen, West Germany

Eight patients underwent surgical therapy because of acute dissection of the aortic arch. In all cases surgery was performed using hypothermic circulatory arrest. Seven patients survived without neurologic defi ciency. Postoperative angiography confirmed the complete resection of the diseased part of the aorta. This method of operative treatment allows inspection of the operative field with out disturbance by blood flow and es tablishes adequate cerebral protec tion. By using presealed prostheses, application of fibrin glue, and auto- transfusion, the authors were able to limit the risk of bleeding, which is the leading cause of death in surgery of acute aortic dissection.

Vascular and Endovascular Surgery, Vol. 24, No. 3, 191-197 (1990)
DOI: 10.1177/153857449002400307
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