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ANESTHETIC MANAGEMENT OF A CASE OF ASCENDING AORTIC ANEURYSM

MANOJ KUMAR SUSAINATHAN

Abstract


In ascending aorta aneurysm
the conventional Aorto caval cardiopulmonary
bypass is not feasible as the
segment for aortic canulation is diseased
and requires surgical repair. Henceforth
a femoral vein-femoral artery cardiopulmonary
bypass is useful to achieve surgical
ease for correction. But, cerebral
perfusion is not ensured with a normothermic
or hypothermic circulatory arrest.
Hence, a Deep Hypothermic Circulatory
Arrest (DHCA) can be used. We
are describing the successful management
of a patient with ascending aorta
aneurysm using femoro-femoral cardiopulmonary
bypass and Deep Hypothermic
Circulatory Arrest.
Keyword :Femoro-Femoral bypass,
Deep hypothermic circulatory arrest, Ascending
Aortic


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In ascending aorta aneurysm

the conventional Aorto caval cardiopulmonary

bypass is not feasible as the

segment for aortic canulation is diseased

and requires surgical repair. Henceforth

a femoral vein-femoral artery cardiopulmonary

bypass is useful to achieve surgical

ease for correction. But, cerebral

perfusion is not ensured with a normothermic

or hypothermic circulatory arrest.

Hence, a Deep Hypothermic Circulatory

Arrest (DHCA) can be used. We

are describing the successful management

of a patient with ascending aorta

aneurysm using femoro-femoral cardiopulmonary

bypass and Deep Hypothermic

Circulatory Arrest.

Keyword :Femoro-Femoral bypass,

Deep hypothermic circulatory arrest, Ascending

Aortic

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Seybold-Epting W, Meyer J, Hallman

GL, Cooley DA. Surgical treatment of

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Chaitali SenDasgupta, Gautam Sengupta,

Kakali Ghosh, Asit Munshi, and

Anupam Goswami; Indian J Anesth

Nov-Dec 54(6);565-568

DeMaria AN, Bommer W, Neumann A,

Weinert L, Bogren H, Mason DT. Identification

andlocalization of aneurysms of

the ascending aorta by cross-sectional

echocardiography. Circulation. 1979

Apr;59(4):755–761.


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