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ORIGINAL ARTICLE

Spinal protection during descending aortic surgery

Henrique MuradIII; José L FeitosaI; Rubens Giambroni FilhoIII; José Augusto de AzevedoIII; João de Deus e BritoI; Márcia S PalharesI; Eliane C GomesI; Francisco José do NascimentoIII; Diniz Alves de OliveiraIII; Maria Elisa G FonsecaII; Amauri Dias do CoutoII; Mauro Paes Leme de SáI; Juscileide M. de Araújo PiresI

DOI: 10.1590/S0102-76381994000200005

ABSTRACT

The authors have used for spinal cord protection during descending aortic surgery, partial extracorporeal circulation from left atrium to left femoral artery, low dose of heparin (1 mg/kg), centrifugal pump (bio-pump) and controlled exsanguination. They have operated upon with this methodology 4 patients without mortality, paraplegia or excessive bleeding.

RESUMO

Os autores utilizam como método de proteção medular em cirurgia de aorta descendente, circulação extracorpórea átrio esquerdo-femoral esquerda, com baixa dose de heparina (1 mg/kg), bomba centrífuga (bio-pump) e exsangüinação controlada. Operaram 4 doentes com esta metodologia sem que houvesse mortalidade, paraplegia ou sangramento excessivo.
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