The site of the Media Sphera Publishers contains materials intended solely for healthcare professionals.
By closing this message, you confirm that you are a certified medical professional or a student of a medical educational institution.

Komarov R.N.

Clinic for Aortic and Cardiovascular Surgery, I.M. Sechenov First Moscow State Medical University

Yasnopolskaya N.V.

Clinic of Aortic and Cardiovascular Surgery, Department of X-ray Diagnosis, University’s Clinical Hospital №1, Sechenov First Moscow State Medical University, Moscow, Russia

Abdulmutalibov I.M.

Clinic of Aortic and Cardiovascular Surgery, I.M. Sechenov First Moscow State Medical University, Moscow, Russia

Visceral protection in thoracoabdominal aortic aneurysm surgery

Authors:

Komarov R.N., Yasnopolskaya N.V., Abdulmutalibov I.M.

More about the authors

Read: 1521 times


To cite this article:

Komarov RN, Yasnopolskaya NV, Abdulmutalibov IM. Visceral protection in thoracoabdominal aortic aneurysm surgery. Russian Journal of Cardiology and Cardiovascular Surgery. 2017;10(6):34‑38. (In Russ.)
https://doi.org/10.17116/kardio201710634-38

Recommended articles:
Heavy eye syndrome: clinical mani­festations, diagnosis and treatment. Russian Annals of Ophthalmology. 2024;(5):112-117
Giant peri­cranial sinus with exte­nsive occi­pital calvarium defect. Burdenko's Journal of Neurosurgery. 2024;(6):77-87
Clinical case of auri­cular gouty tophi. Russian Bulletin of Otorhinolaryngology. 2024;(6):80-84
Surgical access for thoracic and intrathoracic goiter. Piro­gov Russian Journal of Surgery. 2025;(1):54-61

References:

  1. Belov YuV, Charchyan ER, Stepanenko AB, Skvortsov AA, Khachatryan ZR, Komarov RN, et al. Surgical treatment of thoracoabdominal aortic aneurysms. Khirurgiia (Moscow). 2015;(12):33-38. (In Russ.)
  2. Fehrenbacher JW, Corvera JS. Best surgical option for thoracoabdominal aneurysm repair — the open approach. Ann Cardiothorac Surg. 2012;1(3):334-338. https://doi.org/10.3978/j.issn.2225-319X.2012.08.10
  3. LeMaire SA, Price MD, Green SY, Zarda S, Coselli JS. Results of open thoracoabdominal aortic aneurysm repair. Ann Cardiothorac Surg. 2012;1(3):286-292. https://doi.org/10.3978/j.issn.2225-319X.2012.08.16
  4. Svensson LG. Paralysis after aortic surgery: in search of lost cord function. The Surgeon. 2005;3(6):396-405. https://doi.org/10.1016/S1479-666X(05)80050-2
  5. Park S-M, Cho S-J, Ryu SM, Lee K-H, Kang G. The effect of distal aortic pressure on spinal cord perfusion in rats. Korean J Thorac Cardiovasc Surg. 2012;45(2):73-79. https://doi.org/10.5090/kjtcs.2012.45.2.73
  6. Yokoyama H, Kazui T, Inoue S, Kawaharada N, Nakakura H, Sasaki A, et al. Adjunctive methods during surgery for thoracoabdominal aneurysms—effect of selective visceral arteries perfusion incorporated with partial femoro-femoral bypass. Nihon Kyōbu Geka Gakkai. 1992;40(9):1649-1655.
  7. Harward TR, Welborn MB, Martin TD, Flynn TC, Huber TS, Moldawer LL, et al. Visceral ischemia and organ dysfunction after thoracoabdominal aortic aneurysm repair. A clinical and cost analysis. Ann Surg. 1996;223(6):729-734-736.
  8. Belov YuV, Komarov RN, Stepanenko AB, Gens AP, Charchyan ER. Methods to protect the spinal cord and visceral organs in surgery of distal aortic dissections. Angiol Sosud Khir. 2008;14(1):100-105. (In Russ.)
  9. Schepens M, Dossche K, Morshuis W, Heijmen R, van Dongen E, Ter Beek H, et al. Introduction of adjuncts and their influence on changing results in 402 consecutive thoracoabdominal aortic aneurysm repairs. Eur J Cardiothorac Surg. 2004;25(5):701-707. https://doi.org/10.1016/j.ejcts.2004.01.033
  10. Cambria RP, Davison JK, Zannetti S, L’Italien G, Atamian S. Thoracoabdominal aneurysm repair: perspectives over a decade with the clamp-and-sew technique. Ann Surg. 1997;226(3):294-303-305.
  11. Schepens MA, Vermeulen FE, Morshuis WJ, Dossche KM, van Dongen EP, Ter Beek HT, et al. Impact of left heart bypass on the results of thoracoabdominal aortic aneurysm repair. Ann Thorac Surg. 1999;67(6):1963-1967-1980. https://doi.org/10.1016/S0003-4975(99)00391-4
  12. Foulds S, Cheshire NJ, Schachter M, Wolfe JH, Mansfield AO. Endotoxin related early neutrophil activation is associated with outcome after thoracoabdominal aortic aneurysm repair. Br J Surg. 1997;84(2):172-177. https://doi.org/10.1046/j.1365-2168.1997.02599.x
  13. Safi HJ, Harlin SA, Miller CC, Iliopoulos DC, Joshi A, Mohasci TG, et al. Predictive factors for acute renal failure in thoracic and thoracoabdominal aortic aneurysm surgery. J Vasc Surg. 1996;24(3):338-344-345. https://doi.org/10.1016/S0741-5214(96)70189-1
  14. Bhamidipati CM, Coselli JS, LeMaire SA. Perfusion techniques for renal protection during thoracoabdominal aortic surgery. J Extra Corpor Technol. 2012;44(1):P31-P37.
  15. Chertow GM, Levy EM, Hammermeister KE, Grover F, Daley J. Independent association between acute renal failure and mortality following cardiac surgery. Am J Med. 1998;104(4):343-348. https://doi.org/10.1016/S0002-9343(98)00058-8
  16. Ellenberger C, Schweizer A, Diaper J, Kalangos A, Murith N, Katchatourian G, et al. Incidence, risk factors and prognosis of changes in serum creatinine early after aortic abdominal surgery. Intensive Care Med. 2006;32(11):1808-1816. https://doi.org/10.1007/s00134-006-0308-1
  17. Rehring TF, Hollis HW. Supraceliac aortic shunting for maintenance of antegrade renal perfusion during complex aortic reconstruction. J Am Coll Surg. 2003;196(4):657-660. https://doi.org/10.1016/S1072-7515(03)00012-7
  18. Coselli JS, LeMaire SA, Conklin LD, Köksoy C, Schmittling ZC. Morbidity and mortality after extent II thoracoabdominal aortic aneurysm repair. Ann Thorac Surg. 2002;73(4):1107-1115-1116. https://doi.org/10.1016/S0003-4975(02)03370-2
  19. Coselli JS. The use of left heart bypass in the repair of thoracoabdominal aortic aneurysms: current techniques and results. Semin Thorac Cardiovasc Surg. 2003;15(4):326-332. https://doi.org/10.1053/S1043-0679(03)00090-X
  20. Belov YuV, Komarov RN, Stepanenko AB, Gens AP, Charchian ER. Prognostication of neurological complication risk after descending and thoracoabdominal aortic aneurysm repair. Angiol Sosud Khir. 2008;14(2):103-107. (In Russ.)
  21. Schepens MA, Heijmen RH, Ranschaert W, Sonker U, Morshuis WJ. Thoracoabdominal aortic aneurysm repair: results of conventional open surgery. Eur J Vasc Endovasc Surg. 2009;37(6):640-645. https://doi.org/10.1016/j.ejvs.2009.03.011
  22. Gega A, Rizzo JA, Johnson MH, Tranquilli M, Farkas EA, Elefteriades JA. Straight deep hypothermic arrest: experience in 394 patients supports its effectiveness as a sole means of brain preservation. Ann Thorac Surg. 2007;84(3):759-766-767. https://doi.org/10.1016/j.athoracsur.2007.04.107
  23. McCullough JN, Zhang N, Reich DL, Juvonen TS, Klein JJ, Spielvogel D, et al. Cerebral metabolic suppression during hypothermic circulatory arrest in humans. Ann Thorac Surg. 1999;67(6):1895-1899-1921. https://doi.org/10.1016/S0003-4975(99)00441-5
  24. Yoo JS, Kim JB, Joo Y, Lee W-Y, Jung S-H, Choo SJ, et al. Deep hypothermic circulatory arrest versus non-deep hypothermic beating heart strategy in descending thoracic or thoracoabdominal aortic surgery. Eur J Cardiothorac Surg. 2014;46(4):678-684. https://doi.org/10.1093/ejcts/ezu053
  25. Fehrenbacher JW, Hart DW, Huddleston E, Siderys H, Rice C. Optimal end-organ protection for thoracic and thoracoabdominal aortic aneurysm repair using deep hypothermic circulatory arrest. Ann Thorac Surg. 2007;83(3):1041-1046. https://doi.org/10.1016/j.athoracsur.2006.09.088
  26. Jacobs MJ, Eijsman L, Meylaerts SA, Balm R, Legemate DA, de Haan P, et al. Reduced renal failure following thoracoabdominal aortic aneurysm repair by selective perfusion. Eur J Cardiothorac Surg. 1998;14(2):201-205. https://doi.org/10.1016/S1010-7940(98)00164-X
  27. Morishita K, Yokoyama H, Inoue S, Koshino T, Tamiya Y, Abe T. Selective visceral and renal perfusion in thoracoabdominal aneurysm repair. Eur J Cardiothorac Surg. 1999;15(4):502-507. https://doi.org/10.1016/S1010-7940(99)00075-5
  28. Kuniyoshi Y, Koja K, Miyagi K, Uezu T, Yamashiro S, Arakaki K, et al. Selective visceral perfusion during thoracoabdominal aortic aneurysm repair. Ann Thorac Cardiovasc Surg. 2004;10(6):367-372.
  29. Leijdekkers VJ, Wirds JW, Vahl AC, van Genderingen HR, Siebenga J, Westerhof N, et al. The visceral perfusion system and distal bypass during thoracoabdominal aneurysm surgery: an alternative for physiological blood flow? Cardiovasc Surg. 1999;7(2):219-224. https://doi.org/10.1016/S0967-2109(98)00067-2
  30. Köksoy C, LeMaire SA, Curling PE, Raskin SA, Schmittling ZC, Conklin LD, et al. Renal perfusion during thoracoabdominal aortic operations: cold crystalloid is superior to normothermic blood. Ann Thorac Surg. 2002;73(3):730-738. https://doi.org/10.1016/S0003-4975(01)03575-5
  31. Belov YuV, Komarov RN, Vinokurov IA. Expansion of indications for total replacement of thoracoabdominal aorta. Khirurgiia (Moscow). 2014;(6):4-7. (In Russ.)
  32. Lemaire SA, Jones MM, Conklin LD, Carter SA, Criddell MD, Wang XL, et al. Randomized comparison of cold blood and cold crystalloid renal perfusion for renal protection during thoracoabdominal aortic aneurysm repair. J Vasc Surg. 2009;49(1):11-19;discussion 19. https://doi.org/10.1016/j.jvs.2008.08.048
  33. Hassoun HT, Miller CC, Huynh TTT, Estrera AL, Smith JJ, Safi HJ. Cold visceral perfusion improves early survival in patients with acute renal failure after thoracoabdominal aortic aneurysm repair. J Vasc Surg. 2004;39(3):506-512. https://doi.org/10.1016/j.jvs.2003.09.040
  34. Jacobs MJ, Mommertz G, Koeppel TA, Langer S, Nijenhuis RJ, Mess WH, et al. Surgical repair of thoracoabdominal aortic aneurysms. J Cardiovasc Surg (Torino). 2007;48(1):49-58.

Email Confirmation

An email was sent to test@gmail.com with a confirmation link. Follow the link from the letter to complete the registration on the site.

Email Confirmation

We use cооkies to improve the performance of the site. By staying on our site, you agree to the terms of use of cооkies. To view our Privacy and Cookie Policy, please. click here.