降主动脉手术中的脊柱保护（Spinal cord protection in surgery of.pptVIP

Spinal cord protection in surgery of descending thoracic aorta Case 55 y/o male, HTN for 20+ years with regular medical control for 5 years Chronic dissecting aortic aneurysm type III noted for 5 years Left chest pain for 1 week Denied other systemic diseases Laboratory data: within normal range Case Normal screening spirometry 2-D echocardiography: dilated aortic root(diameter 63mm) LA, mild MR, good LV contractility Planning: 1.Left post-lat thoracotomy 2. Femoral-femoral CPB 3. Hypothermia with circulation arrest and retrograde cerebral perfusion via high CVP 18~20mmHg by femoral artery