0
ARTICLE |

Resection of Descending Thoracic Aneurysms Without Left Heart Bypass

Donald R. Kahn, MD; Sathaporn Vathayanon, MD; Herbert Sloan, MD
Arch Surg. 1968;97(2):336-340. doi:10.1001/archsurg.1968.01340020200024.
Text Size: A A A
Published online

WHEN aneurysms of the descending thoracic aorta are resected the aorta must be cross-clamped. The clamp usually is applied just distal to the left carotid artery with a separate clamp on the left subclavian artery. During the period of aortic occlusion the blood supply to the lower part of the body must be maintained to prevent ischemic injury to the spinal cord and distal organs and to avoid acute left heart failure.

An external shunt which does not require systemic heparinization has been employed in 11 patients during resection of descending thoracic aneurysms and in two patients after acute traumatic rupture of the descending thoracic aorta in the past two years. We have found this technique simpler and safer in our hands than previously used methods.

Surgical Technique  A left posterolateral thoracotomy is performed through the fourth intercostal space. Polyethylene catheters are placed around the aortic arch just distal to

Topics

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
/>
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();