Korean J Crit Care Med.  1997 Nov;12(2):187-191.

Profound Hypothermia and Circulatory Arrest for Adult PDA Surgery: Case report

• Baek SH
• Shin SW
• Kim HK
• Baik SW
• Kim IS
• Chung KS

Abstract

Correction of a calcified patent ductus arteriosus (PDA) is a difficult surgical procedure. Simple ligation or division of PDA is not possible if diffuse circumferential calcification is present. Several techniques using cardiopulmonary bypass and closure of PDA from within the aorta or pulmonary artery have been introduced. And the surgical procedure is performed under profound hypothermia and circulatory arrest. Total ischemia time should be less than 30 minutes, which is free from the organ damage by the circulatory arrest. Barbiturates, calcium channel blockers and steroids are used for brain protection. We experienced successful use of these techniques for adult female patch closure of PDA and reviewed the anesthetic considerations of the profound hypothermia and circulatory arrest for cardiac surgery.

Keyword

Anatomy; adult PDA; Anesthetic technique; circulatory arrest; profound hypothermia

MeSH Terms

Adult*
Aorta
Barbiturates
Brain
Calcium Channel Blockers
Cardiopulmonary Bypass
Ductus Arteriosus, Patent
Female
Humans
Hypothermia*
Ischemia
Ligation
Pulmonary Artery
Steroids
Thoracic Surgery
Barbiturates
Calcium Channel Blockers
Steroids