Reconstructive surgery of aortic arch interruption in adults

Kozlov, B. N.; Панфилов, Д. С.; Саушкин, В. В.; Кузнецов, М. С.; Nasrashvili, G. G.; Shipulin, V. M.

doi:10.17116/hirurgia2016513-16

Cited by 2 publications

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“…Patients who do not rec eive therapy seldom live to maturity since the illness progressivel y worsens as a person ages because of an increased heart burde n [2]. One of the main treatments for adult IAA is surgical reconst ruction [11]. However, the people who experience aortic arch inter ruption frequently have other major congenital heart defects, suc h as ventricular and atrial septal defects, necessitating cardiopulm onary bypass surgery, which increases the difficulty and risk of th e surgical procedure [11].…”

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“…One of the main treatments for adult IAA is surgical reconst ruction [11]. However, the people who experience aortic arch inter ruption frequently have other major congenital heart defects, suc h as ventricular and atrial septal defects, necessitating cardiopulm onary bypass surgery, which increases the difficulty and risk of th e surgical procedure [11]. Operative mortality has significantly decr eased in recent years due to advancements in perioperative moni toring, extracorporeal circulation, and surgical technology.…”

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Off-pump Aortic Arch Interruption Surgery: Anesthetic Management and Outcomes

Wu,

2024

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The present article provides an overview of the anesthetic pr ocedure employed during off-pump aortic arch interruption surger y, a cardiovascular operation. The case study involved a 54-year-o ld male patient who was diagnosed with aortic arch interruption and who underwent an off-pump surgical intervention. Anesthesia protocol: The patient fasted and abstained before surgery. In the operating room, anesthesia induction was achieve d using midazolam, esketamine, etomidate, sufentanil, and rocuro nium. Throughout the procedure, anesthesia was maintained using propofol, remifentanil, and sevoflurane, with dosage adjustments made in accordance with the progress of the surgical interventio n. Intraoperative monitoring: Conventional monitoring included E CG, blood pressure, pulse oxygen saturation, end-tidal CO2, bispec tral index, hemodynamic monitoring, and cerebral oxygen saturati on monitoring (rSO2). The patient's mean arterial pressure (MAP) was carefully regulated within the range of 60-80 mmHg, while t he heart rate was maintained between 50-90 beats per minute t o ensure a stable circulatory state. Anesthesia outcome: The patient's vital signs remained stable, with appropriate anesthesia depth. The surgery was successfully completed, and the patient was transferred to the critical care u nit for postoperative observation and treatment. In off-pump aortic arch interruption surgery, maintaining stabl e vital signs and ensuring stable circulation are crucial anesthetic management components. The reported case demonstrated a satis factory anesthesia effect with no significant complications. This ca se highlights the importance of employing reasonable anesthesia methods and monitoring measures for safe and effective patient care.

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Off-pump Aortic Arch Interruption Surgery: Anesthetic Management and Outcomes

Wu,

2024

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A clinical case of secondary hypertension in a young woman with coarctation of the aorta

et al. 2022

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The article presents a case of diagnosis and treatment of coarctation of the aorta in a 20-year-old woman, who previously received follow-up care with the diagnosis of hypertension. This case demonstrates the importance of qualitative examination of young patients with hypertension, including tonometry in the lower extremities and transthoracic echocardiography. The peculiarities of this clinical case encompass a rarer, isolated type of coarctation of the aorta and high physical fitness of the patient, which reduced doctors’ alertness regarding this anomaly. After surgical correction, a significant decrease in the blood pressure was achieved; however, such patients need longterm follow-up in order to detect complications, such as aneurysms, restenosis, or residual stenosis.

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Reconstructive surgery of aortic arch interruption in adults

Cited by 2 publications

References 4 publications

Off-pump Aortic Arch Interruption Surgery: Anesthetic Management and Outcomes

Off-pump Aortic Arch Interruption Surgery: Anesthetic Management and Outcomes

A clinical case of secondary hypertension in a young woman with coarctation of the aorta

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