Severe Outflow Obstruction after Liver Transplantation: Rescue Stapled Cavo‐cavostomy via the Right Atrial Approach and Hypothermic Circulatory Arrest

2020 ◽  
Author(s):  
Michael Z. Tong ◽  
Cristiano Quintini ◽  
Giuseppe D’Amico ◽  
David Laczynski ◽  
Teresa Diago Uso ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Circulatory Arrest ◽  
Hypothermic Circulatory Arrest ◽  
Right Atrial ◽  
Outflow Obstruction ◽  
The Right ◽  
Right Atrial Approach

scholarly journals Postinfarction ventricular septal rupture: Early repair through the right atrial approach

2000 ◽  
Vol 119 (4) ◽  
pp. 784-789 ◽  
Author(s):  
Massimo Massetti ◽  
Gerard Babatasi ◽  
Olivier Le Page ◽  
Satar Bhoyroo ◽  
Eric Saloux ◽  
...  
Keyword(s):  
Right Atrial ◽  
Ventricular Septal Rupture ◽  
Early Repair ◽  
The Right ◽  
Right Atrial Approach ◽  
Postinfarction Ventricular Septal Rupture

scholarly journals Safety of the right atrial approach for combined mitral and tricuspid valve procedures

1988 ◽  
Vol 96 (5) ◽  
pp. 756-759 ◽  
Author(s):  
Lynn B. McGrath ◽  
James M. Levett ◽  
Lorenzo Gonzalez-Lavin
Keyword(s):  
Tricuspid Valve ◽  
Right Atrial ◽  
The Right ◽  
Right Atrial Approach

scholarly journals Microsurgical clipping of a giant vertebrobasilar junction aneurysm under hypothermic circulatory arrest

2015 ◽  
Vol 39 (videosuppl1) ◽  
pp. V13 ◽  
Author(s):  
Ulas Cıkla ◽  
Kutluay Uluç ◽  
Mustafa K. Baskaya
Keyword(s):  
Circulatory Arrest ◽  
Hypothermic Circulatory Arrest ◽  
Neurological Deficits ◽  
Significant Challenge ◽  
Microsurgical Clipping ◽  
Coil Occlusion ◽  
Posterior Circulation Aneurysms ◽  
Vertebrobasilar Junction ◽  
One Year ◽  
The Right

Giant posterior circulation aneurysms pose a significant challenge to neurovascular surgeons. Among various treatment methods that have been applied individually or in combination, clipping under hypothermic circulatory arrest (HCA) is rarely used. We present a 62-year-old man who initially underwent coil occlusion of the right vertebral artery (VA) for a 2.5 cm giant vertebrobasilar junction (VBJ) aneurysm. His neurological condition had declined gradually and the aneurysm grew to 4 cm in size. The patient underwent clip reconstruction of giant VBJ aneurysm under HCA. His postoperative course was prolonged due to his preexisting neurological deficits. His preoperative Modified Rankin Score was 5, and improved postoperatively to 3 at three and six months, and to 2 at one year.The video can be found here: http://youtu.be/L53SiLV8eJY.

scholarly journals Foley catheter and deep hypothermic circulatory arrest to control bleeding in redo cardiac surgery

2004 ◽  
Vol 51 (3) ◽  
pp. 117-119
Author(s):  
Dusko Nezic ◽  
S. Borovic ◽  
Milan Cirkovic ◽  
Ljiljana Lausevic-Vuk ◽  
A. Kenkovski ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Cardiopulmonary Bypass ◽  
Circulatory Arrest ◽  
Foley Catheter ◽  
Deep Hypothermic Circulatory Arrest ◽  
Hypothermic Circulatory Arrest ◽  
The Right ◽  
Right Atria ◽  
Combined Technique ◽  
Uncontrolled Bleeding

Two cases with catastrophic hemorrhage in redo cardiac surgery are described. In the first one tearing of right ventricle with uncontrolled bleeding occurred during sternal reentry. In the second one, tearing of the right atria occurred while the patient was on cardiopulmonary bypass. In both cases we were able to control bleeding using Foley catheter, which enabled us to proceed to deep hypothermic circulatory arrest to repair heart chambers (due to dense adhesions it was impossible to m?nage it in any other way). We have found this combined technique to be extremely useful tool to control catastrophic hemorrhage during redo cardiac surgery.

A novel augmented venous-drainage model of cardiopulmonary bypass for deep hypothermic circulatory arrest without blood priming

Perfusion ◽  
2017 ◽  
Vol 33 (4) ◽  
pp. 297-302 ◽  
Author(s):  
Xuan Jiang ◽  
Tianxiang Gu ◽  
Yu Liu ◽  
Chun Wang ◽  
Enyi Shi ◽  
...  
Keyword(s):  
Cardiopulmonary Bypass ◽  
Femoral Artery ◽  
Jugular Vein ◽  
Circulatory Arrest ◽  
Venous Drainage ◽  
Deep Hypothermic Circulatory Arrest ◽  
Hypothermic Circulatory Arrest ◽  
Blood Gas ◽  
Left Femoral Artery ◽  
The Right

Objective: Cardiopulmonary bypass (CPB) and deep hypothermic circulatory arrest (DHCA) are commonly used in cardiac surgery. However, the mortality and morbidity are still high in practice. Developing novel protective stategies and elucidating the underlying mechanisms for the pathophysiological consequences of DHCA have been hampered because of the absence of a satisfactory recovery animal model. The aim of this study was to establish a novel and safe DHCA model without blood priming in rats to study the pathophysiology of potential complications. Methods: Ten adult male Sprague-Dawley rats (age, 14-16 weeks; weight, 200-300g) were used. The entire CPB circuit consisted of a modified reservoir, a custom-designed small-volume membrane oxygenator, a roller pump and a home-made heat exchanger, all of which were connected via silicon tubing. The volume of the priming solution was less than 10 ml. The right jugular vein, right carotid artery and left femoral artery were cannulated. The blood was drained from the right atrium through the right jugular vein and fed back to the rat via the left femoral artery. CPB was commenced at a full flow rate. The animals were cooled to a pericranial temperature of 18°C and then subjected to 45 minutes of DHCA with global ischemia. Circulatory arrest was followed by rewarming and over 60 minutes of reperfusion. CPB was terminated carefully. Blood in the circuit was centrifuged and slowly transfused to achieve optimal hematocrit. Blood gas and hemodynamic parameters were recorded at each time point before CPB, during CPB and after CPB. Results: All CPB and DHCA processes were achieved successfully. No rat died in our research. Blood gas analyses at different times were normal. Cardiac function and blood pressure were stable after the operation. The vital signs of all the rats were stable. Conclusion: The novel augmented venous-drainage CPB and DHCA model in rats could be established successfully without blood priming.

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