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Visceral and Limb Perfusion During Thoracoabdominal Aortic Aneurysm Repair
Journal article   Open access   Peer reviewed

Visceral and Limb Perfusion During Thoracoabdominal Aortic Aneurysm Repair

George T Christakis, Anthony Panos, Charles M Peniston, Samuel V Lichtenstein and Tomas A Salerno
The Annals of thoracic surgery, Vol.48(4), pp.592-594
10/1989
DOI: 10.1016/S0003-4975(10)66874-9
PMID: 2802866
url
https://doi.org/10.1016/S0003-4975(10)66874-9View
Published (Version of record) Open Access

Abstract

Patients undergoing thoracoabdominal aortic aneurysm repair are at high risk of operative morbidity and death. Aortic clamping and unclamping stresses the myocardium, interrupts visceral and limb perfusion, and leads to metabolic acidosis. Use of a simple technique to preserve distal perfusion during the period of aortic clamping may reduce perioperative morbidity. We describe a technique of visceral and limb perfusion that may reduce surgical risk in high-risk patients.

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