Our experience of surgical treatment of aortic arch obstruction in children in the presence of antegrade selective cerebral perfusion

This work is about outcomes of surgical treatment aortic arch obstruction in children performed with the use of selective cerebral perfusion and moderate hypothermia. The study included 97 patients with aortic coarctation, recoarctation and hypoplastic aortic arch. The patients were divided into 3 g...

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Autores principales:	V. N. Iljinov, Y. V. Yakimova, A. Y. Ivlev, V. O. Kiselev, V. Y. Ginko, Y. V. Krivoshchekov, V. M. Shipulin, A. N. Plekhanov
Formato:	article
Lenguaje:	RU
Publicado:	Scientific Сentre for Family Health and Human Reproduction Problems 2015
Materias:	aortic coarctation recoarctation aortic arch hypoplasia antegrade selective cerebral perfusion hypothermia Science Q
Acceso en línea:	https://doaj.org/article/3468757950414b0a9b3b07c3e96e4406
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spelling	oai:doaj.org-article:3468757950414b0a9b3b07c3e96e44062021-11-23T06:14:32ZOur experience of surgical treatment of aortic arch obstruction in children in the presence of antegrade selective cerebral perfusion2541-94202587-9596https://doaj.org/article/3468757950414b0a9b3b07c3e96e44062015-04-01T00:00:00Zhttps://www.actabiomedica.ru/jour/article/view/22https://doaj.org/toc/2541-9420https://doaj.org/toc/2587-9596This work is about outcomes of surgical treatment aortic arch obstruction in children performed with the use of selective cerebral perfusion and moderate hypothermia. The study included 97 patients with aortic coarctation, recoarctation and hypoplastic aortic arch. The patients were divided into 3 groups. 75 patients with isolated coarctation and recoarctation or with concomitant atrial septal defects, patentforamen ovale and patent ductus arterious were assigned to the 1st group. The 2nd group included 13 patients with aortic arch obstruction and ventricular septal defects. The 3rd group consisted of 9 patients with coarctation, recoarctation and complex intracardiac anomalies. All patients underwent reconstruction of the aortic arch with selective cerebral perfusion and moderate hypothermia. Overall mortality rate was 4%. Postoperative complications took place in 7% of the cases: 1% - postoperative bleeding, 1% - paresis of the diaphragm, 2% - pneumothorax, 2% - chylothorax, and 1% of the cases - vocal cords paresis. Respiratory postoperative complications were registered in 5% of cases. In 6% of the cases patients had neurological postoperative complications. After the operation there was no gradientfound between the pressures on upper and lower extremities. We consider that antegrade selective cerebral perfusion and moderate hypothermia during aortic arch reconstruction are effective methods of brain and visceral organs protection.V. N. IljinovY. V. YakimovaA. Y. IvlevV. O. KiselevV. Y. GinkoY. V. KrivoshchekovV. M. ShipulinA. N. PlekhanovScientific Сentre for Family Health and Human Reproduction Problemsarticleaortic coarctationrecoarctationaortic arch hypoplasiaantegrade selective cerebral perfusionhypothermiaScienceQRUActa Biomedica Scientifica, Vol 0, Iss 2, Pp 15-20 (2015)
institution	DOAJ
collection	DOAJ
language	RU
topic	aortic coarctation recoarctation aortic arch hypoplasia antegrade selective cerebral perfusion hypothermia Science Q
spellingShingle	aortic coarctation recoarctation aortic arch hypoplasia antegrade selective cerebral perfusion hypothermia Science Q V. N. Iljinov Y. V. Yakimova A. Y. Ivlev V. O. Kiselev V. Y. Ginko Y. V. Krivoshchekov V. M. Shipulin A. N. Plekhanov Our experience of surgical treatment of aortic arch obstruction in children in the presence of antegrade selective cerebral perfusion
description	This work is about outcomes of surgical treatment aortic arch obstruction in children performed with the use of selective cerebral perfusion and moderate hypothermia. The study included 97 patients with aortic coarctation, recoarctation and hypoplastic aortic arch. The patients were divided into 3 groups. 75 patients with isolated coarctation and recoarctation or with concomitant atrial septal defects, patentforamen ovale and patent ductus arterious were assigned to the 1st group. The 2nd group included 13 patients with aortic arch obstruction and ventricular septal defects. The 3rd group consisted of 9 patients with coarctation, recoarctation and complex intracardiac anomalies. All patients underwent reconstruction of the aortic arch with selective cerebral perfusion and moderate hypothermia. Overall mortality rate was 4%. Postoperative complications took place in 7% of the cases: 1% - postoperative bleeding, 1% - paresis of the diaphragm, 2% - pneumothorax, 2% - chylothorax, and 1% of the cases - vocal cords paresis. Respiratory postoperative complications were registered in 5% of cases. In 6% of the cases patients had neurological postoperative complications. After the operation there was no gradientfound between the pressures on upper and lower extremities. We consider that antegrade selective cerebral perfusion and moderate hypothermia during aortic arch reconstruction are effective methods of brain and visceral organs protection.
format	article
author	V. N. Iljinov Y. V. Yakimova A. Y. Ivlev V. O. Kiselev V. Y. Ginko Y. V. Krivoshchekov V. M. Shipulin A. N. Plekhanov
author_facet	V. N. Iljinov Y. V. Yakimova A. Y. Ivlev V. O. Kiselev V. Y. Ginko Y. V. Krivoshchekov V. M. Shipulin A. N. Plekhanov
author_sort	V. N. Iljinov
title	Our experience of surgical treatment of aortic arch obstruction in children in the presence of antegrade selective cerebral perfusion
title_short	Our experience of surgical treatment of aortic arch obstruction in children in the presence of antegrade selective cerebral perfusion
title_full	Our experience of surgical treatment of aortic arch obstruction in children in the presence of antegrade selective cerebral perfusion
title_fullStr	Our experience of surgical treatment of aortic arch obstruction in children in the presence of antegrade selective cerebral perfusion
title_full_unstemmed	Our experience of surgical treatment of aortic arch obstruction in children in the presence of antegrade selective cerebral perfusion
title_sort	our experience of surgical treatment of aortic arch obstruction in children in the presence of antegrade selective cerebral perfusion
publisher	Scientific Сentre for Family Health and Human Reproduction Problems
publishDate	2015
url	https://doaj.org/article/3468757950414b0a9b3b07c3e96e4406
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Our experience of surgical treatment of aortic arch obstruction in children in the presence of antegrade selective cerebral perfusion

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