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Kenji Okada
Taijiro Sueda
Kazumasa Orihashi
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Asian Cardiovasc Thorac Ann 2006;14:338-340
© 2006 Asia Publishing EXchange Ltd


HOW TO DO IT

An Alternative for Descending Thoracic Aortic Aneurysm Repair

Kenji Okada, MD, Taijiro Sueda, MD, Kazumasa Orihashi, MD, Nobuhiro Tanaka, MD1, Kazuyoshi Nakanishi, MD1, Mitsuo Ochi, MD1

Department of Cardiovascular Surgery
1 Department of Orthopedic Surgery, Hiroshima University Hospital, Hiroshima, Japan

For reprint information contact: Kenji Okada, MD Tel: 81 82 257 5216 Fax: 81 82 257 5219 Email: kokada{at}hiroshima-u.ac.jp, Department of Cardiovascular Surgery, Hiroshima University Hospital, 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8551, Japan.

A simple technique termed "clamp test and spinal cord-plegia" for descending thoracic aortic aneurysm surgery is described. The clamp test is a passive method of creating ischemic conditions, whereas spinal cord-plegia is an active method of decreasing metabolism. This technique is a practical test that double-checks for critical feeding arteries and seems to have an excellent spinal cord-preserving effect.




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Eur. J. Cardiothorac. Surg.Home page
M. Hamaishi, K. Orihashi, S. Takahashi, M. Isaka, K. Okada, and T. Sueda
Transcranial motor-evoked potentials following intra-aortic cold blood infusion facilitates detection of critical supplying artery of spinal cord
Eur. J. Cardiothorac. Surg., April 1, 2008; 33(4): 695 - 699.
[Abstract] [Full Text] [PDF]




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