J.Jpn. Surg. Soc.. 97(10): 894-899, 1996

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Feature topic

RECENT PROGRESS IN AJUNCTIVE METHODS DURING SURGERY OF AORTIC DISSECTION

Aortic dissection is severe disease, but recently surgery of aortic dissection is reported in good results. In order to improve results, three ajunctive methods have been progressed recently；intraoperative color Doppler, retrograde cerebral perfusion and deep hypothermia. Intraoperative color Doppler reveals dynamic hemodynamics and structual information in aortic dissection in real time which Ieads to proper surgical treatment to obtain maximum effects with minimum invasiveness. To carry out thrombus obliteration in false lumen by informations of intraoperative color Doppler leads to a healing in aortic dissection. Retrograde cerebral perfusion during surgery of aortic dissection permitted simple procedure and good surgical results with reduced neurological complications. Deep hypothermia for protection of spinal cord and other organs also yielded good operative results and reduced rate of paraplegia.

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