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  • distal run-off  (1)
  • shunt into the abdominal aorta  (1)
  • 1
    Electronic Resource
    Electronic Resource
    Successful resection of an aortic arch aneurysm using a temporary trifurcation bypass graft (1981)
    Springer
    Surgery today 11 (1981), S. 95-99 
    Details
    ISSN: 1436-2813
    Keywords: aortic arch aneurysm ; temporary bypass system ; trifurcation graft ; shunt into the abdominal aorta
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Resection of a syphilitic aortic arch aneurysm in a 62-yearold woman was accomplished using a trifurcation temporary bypass system. The bifurcation graft was sutured end-to-side to the ascending thoracic aorta, to the brachiocephalic trunk and to the left common carotid artery, respectively. The attached third limb end was anastomosed end-to-side to the infrarenal abdominal aorta. This technique enabled a larger shunt into the abdominal aorta. Occlusion of the iliac arteries proved to be effective in coping with hypotension while attending to the bypass and the volume replacement. The post-operative recovery was uneventful and the patient has remained well after 43 months.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02468876
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    Paper (German National Licenses)
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  • 2
    Electronic Resource
    Electronic Resource
    Surgical treatment of juxtarenal aortic occlusion (1978)
    Springer
    Surgery today 8 (1978), S. 93-101 
    Details
    ISSN: 1436-2813
    Keywords: juxtarenal aortic occlusion ; thromboendarterectomy (TEA) ; suprarenal aortic clamping ; ischemic insult to the kidney ; renal embolization ; bypass grafting ; distal run-off
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract From 1974 to 1976, four patients with juxtarenal aortic occlusion were operated upon with no surgical mortality. Thromboendarterectomy (TEA) of the aorta with renal revascularization was performed in one patient, and TEA with grafting in three. Intraoperative renal protection was particularly important, since suprarenal aortic clamping was often required in these cases. Possible renal embolism developed in one patient postoperatively. In order to prevent renal embolism and to minimize ischemic insult to the kidney, the value of the following procedures was stressed; (a) irrigation of aortic lumen with saline after TEA under suprarenal aortic clamping with renal arteries kept occluded, and (b) re-application of aortic clamp below the renal arteries after irrigation. Since the most distal level of occlusive process was the common femoral artery in our series, the patient with this desease entity should be treated more actively.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02469364
    Location Call Number Limitation Availability
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    Paper (German National Licenses)
    Fulltext
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