Abstract
Cross-clamping of the descending thoracic aorta is followed by dramatic alterations in hemodynamics. The increase of the arterial blood pressure proximal to the occlusion (APprox) may cause cerebral hemorrage, pulmonary edema or cardiac dilation, whereas the marked distal pressure (APdist) decrease leads to impaired organ perfusion which can result in severe ischemic/anoxic organ dysfunction, especially in paraplegia. The reported postoperative incidence in the human ranges up to 24% (Coles et al., 1983).
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Adams, H. D., and van Geertruyden, H. H., 1956, Neurologic complications of aortic surgery, Ann. Surg. 144:574–609.
Blaisdell, F. W., and Cooley, D. A., 1962, The mechanism of paraplegia after temporary thoracic aortic occlusion and its relationship to spinal fluid pressure, Surgery 51:351–355.
Coles, J. G., Wilson, G. J., Sima, A. F., Klement, P., Tait, G. A., Williams, W. G., and Baird, R. J., 1983, Intraoperative management of thoracic aortic aneurysma, J. Thorac. Cardiovasc. Surg. 85:292–299.
Gelman, S., Reves, J. G., Fowler, K., Samuelson, P. N., Lell, W. A., and Smith, L. R., 1983, Regional blood flow during cross-clamping of the thoracic aorta and infusion of sodium nitroprusside, J. Thorac. Cardiovasc. Surg. 85:287–291.
Jellinger, K., 1966, Zur Orthologie und Pathologie der Rückenmarksdurchblutung, Springer Verlag, Wien-New York.
Killen, D. A., Edwards, R. H., Adkins, R. B., Jr, and Boehm, F. H., 1965, Spinal cord ischemia following mobilization of canine aorta from posterior parietes, Ann. Surg. 162:1063–1068.
Lübbers, D. W., Baumgärtl, H., Fabel, H., Huch, A., Kessler, M., Kunze, K., Riemann, H., Seiler, D., and Schuchhardt, S., 1969, Principle of construction and application of various platinum electrodes, in: “Oxygen Pressure Recording in Gases, Fluids, and Tissues”, F. Kreuzer, ed., Progr. Resp. Res. 3:136–146, S. Karger, Basel New York.
Piscol, K., 1972, Die Blutversorgung des Rückenmarkes und ihre klinische Relevanz, Springer-Verlag, Berlin-Heidelberg-New York.
Spencer, F. C., and Zimmermann, J. M., 1958, The influence of ligation of intercostal arteries on paraplegia in dogs, Surg. Forum 9:340–342.
Wadouh, F., Lindemann, E. M., Arndt, C. F., Hetzer, R., and Borst, H. G., 1984, The arteria radicularis magna anterior as a decisive factor influencing spinal cord damage during aortic occlusion, J. Thorac. Cardiovasc. Surg. 88:1–10.
Wadouh, F., Metzger, H., Arndt, C. F., Hartmann, M., Schywalsky, M., and Hetzer, R., in press, Response of spinal cord oxygen tension to aortic occlusion, to appear in:Adv. Exp. Med. Biol.
Wissdorf, H., 1970, Die Gefäßversorgung der Wirbelsäule und des Rückenmarkes vom Hausschwein (Tierärztliche Hochschule Hannover, Med. vet. Habilschrift), Parey-Verlag, Berlin.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1985 Plenum Press, New York
About this chapter
Cite this chapter
Wadouh, F., Hartmann, M., Arndt, C.F., Metzger, H., Borst, H.G. (1985). Lumbar and Thoracic Spinal Cord Oxygen Tension During Aortic Cross-Clamping. In: Kreuzer, F., Cain, S.M., Turek, Z., Goldstick, T.K. (eds) Oxygen Transport to Tissue VII. Advances in Experimental Medicine and Biology, vol 191. Springer, Boston, MA. https://doi.org/10.1007/978-1-4684-3291-6_17
Download citation
DOI: https://doi.org/10.1007/978-1-4684-3291-6_17
Publisher Name: Springer, Boston, MA
Print ISBN: 978-1-4684-3293-0
Online ISBN: 978-1-4684-3291-6
eBook Packages: Springer Book Archive