Mild hypothermia induced by abdominal cavity cooling together with a selective visceral shunting technique can be a useful adjunct for thoracoabdominal aortic aneurysm repair. The authors adopted this combined technique for repair of selected Crawford type III and type IV aneurysms to reduce visceral ischemic damage and minimize the incidence of postoperative complications.
2. Crawford ES, Crawford JL, Safi HJ, et al: Thoracoabdominal aortic aneurysms: Preoperative and intraoperative factors determining immediate and longterm results of operations in 605 patients. J Vasc Surg3:389-404, 1986.
3.
3. Cooley DA: Single-clamp repair of aneurysms of the descending thoracic aorta. Semin Thorac Cardiovasc Surg10:87-90, 1998.
4.
4. Coselli JS, LeMaire SA, de Figueiredo LP, et al: Paraplegia after thoracoabdominal aortic aneurysm repair: Is dissection a risk factor?Ann Thorac Surg63:28-36, 1997.
5.
5. Safi HJ, Harlen SA, Muller CC: Predictive factors for acute renal failure in thoracic and thoracoabdominal aortic aneurysm surgery. J Vasc Surg24:338-345, 1996.
6.
6. Kouchoukos NT, Daily BB, Rokkas CK, et al: Hypothermic bypass and circulatory arrest for operations on the descending thoracic and thoracoabdominal aorta. Ann Thorac Surg60:67-77, 1995.
7.
7. Morishita Y. Harada T, Moriyama Y, et al: Simultaneous retrieval of the heart and liver from a single donor: An evaluation through preservation and transplantation. J Heart Transplantation7:269-273, 1988.
8.
8. Acher CW, Wynn MM, Hoch JR, et al: Combined use of cerebral spinal fluid drainage and naloxone reduces the risk of paraplegia in thoracoabdominal aneurysm repair. J Vasc Surg19:236-248, 1994.