| Japanese |
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| Title | 大動脈瘤手術における超低体温循環停止症例の検討 |
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| Subtitle | 原著 |
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| Authors | 福村好晃*, 坂東正章*, 下江安司*, 吉田誉*, 酒井陽子**, 加藤道久**, 郷律子**, 神山有史**, 片岡善彦* |
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| Authors(kana) | |
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| Organization | *徳島赤十字病院心臓血管外科, **徳島赤十字病院麻酔科 |
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| Journal | 循環制御 |
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| Volume | 23 |
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| Number | 1 |
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| Page | 10-13 |
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| Year/Month | 2002/ |
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| Article | 原著 |
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| Publisher | 日本循環制御医学会 |
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| Abstract | 過去5年間に超低体温循環停止法を用いて手術を施行した大動脈瘤症例31例を検討した. 術中の粥腫飛散または不完全な脳保護に起因すると思われる脳合併症は, 一過性の片麻痺の1例のみであった. 遠位弓部大動脈瘤に対する胸骨正中切開からの全弓部置換群（A群）と左側方開胸からの遠位弓部置換群（B群）を比較すると, 体外循環時間および循環停止時間の有意に短いB群で, 手術後の回復が早い傾向にあった. 超低体温循環停止法は, 緊急手術にも対応が簡便であり, 脳合併症を減少させることが可能であった. しかし, 循環停止時間の延長は, 侵襲を増大させ術後の回復を遅らせる大きな原因となるため, 最小限にとどめる努力が必要である. |
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| Practice | 基礎医学・関連科学 |
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| Keywords | 超低体温循環停止, 大動脈瘤, 脳合併症, Deep hypothermic circulatory arrest, Aortic aneurysm, Neurological complication |
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| English |
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| Title | Surgical Treatment of Aneurysms Using Deep Hypothermic Circulatory Arrest |
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| Subtitle | |
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| Authors | Yoshiaki Fukumura*, Masaaki Bando*, Yasushi Shimoe*, Homare Yoshida*, Yoko Sakai**, Michihisa Kato**, Ritsuko Go**, Arihumi Kohyama**, Yoshihiko Kataoka* |
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| Authors(kana) | |
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| Organization | *Department of Cardiovascular Surgery, Tokushima Red Cross Hospital, **Department of Anesthesiology, Tokushima Red Cross Hospital |
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| Journal | Circulation Control |
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| Volume | 23 |
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| Number | 1 |
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| Page | 10-13 |
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| Year/Month | 2002/ |
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| Article | Original article |
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| Publisher | Japan Society of Circulation Control |
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| Abstract | Between May 1996 and April 2001, 31 patients with aortic aneurysms underwent deep hypothermic circulatory arrest （DHCA）. Four patients had developed aneurysm ruptures and were deemed emergent cases. During the procedure, one patient developed temporary hemiplegia due to either thromboembolism or incomplete cerebral protection. Hospital mortality rates were 14.8% （4／27） in the elective cases and 50% （2／4） in the emergent cases. Among patients with distal aonic arch aneurysms, 7 （group A） underwent total aortic arch replacement through median sternotomy and 12 （group B） underwent distal arch replacement through left thoracotomy. Group A had longer extracorporeal circulation and hypothermic circulatory arrest times than did group B, and the postoperative ICU stay and in-hospital period were significantly longer in group A than in group B. DHCA is a simple and useful technique that may also be used in emergency cases. Since longer DHCA time increases damages and delays patient recovery, it is necessary to shorten the time to complete this procedure. |
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| Practice | Basic medicine |
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| Keywords | Deep hypothermic circulatory arrest, Aortic aneurysm, Neurological complication |
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