Michael H. Entrup's research works | Tufts University, MA (Tufts) and other places

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Management of right-sided aortic arch aneurysms

Article

Dec 2001

Specific technical problems are associated with the management of patients who have either of the two types of right-sided arches and aneurysms of the aortic arch and descending aorta. Two different approaches to addressing these problems, depending on the predominant congenital vascular anatomy, are presented.

Prospective randomized neurocognitive and S-100 study of hypothermic circulatory arrest, retrograde brain perfusion, and antegrade brain perfusion for aortic arch operations

Article

Jun 2001

To determine the optimal method of brain protection during deep hypothermic circulatory arrest (DHCA) for arch repair. Of 139 potential aortic arch repairs (denominator), we randomized 30 patients to either DHCA alone (n = 10), DHCA plus retrograde brain perfusion (RBP) (n = 10), or antegrade perfusion (ANTE) (n = 10); a further 5 coronary bypass (...

Disorders of Thermoregulation

Chapter

Jan 2001

Mammals regulate body temperature by regulating heat content and distribution (1). To maintain a constant heat content, heat gain or metabolic heat production must equal heat loss. When heat gain or metabolic heat production exceeds heat loss, the total heat content of the body increases, resulting in an increase in mean body temperature. Conversel...

Reduction of neurologic injury after high-risk thoracoabdominal aortic operation

Article

Aug 1998

Of all aortic operations, thoracoabdominal aortic repairs have the highest risk of spinal cord neurologic injury, manifest by lower limb paraplegia or paraparesis. Cerebrospinal fluid drainage combined with intrathecal papaverine (CSFDr + IP) may reduce the risk and severity of neurologic injury. The objective of this study was to evaluate the effe...

Reduction of neurologic injury after high-risk thoracoabdominal aortic operation 1 1 This article has been selected for the open discussion forum on the STS Web site: http://www.sts.org/annals

Article

Jul 1998

Background. Of all aortic operations, thoracoabdominal aortic repairs have the highest risk of spinal cord neurologic injury, manifest by lower limb paraplegia or paraparesis. Cerebrospinal fluid drainage combined with intrathecal papaverine (CSFDr + IP) may reduce the risk and severity of neurologic injury. The objective of this study was to evalu...

Replacement of entire aorta from aortic valve to bifurcation during one operation

Article

Nov 1994

A 68-year-old patient presented with an extensive aortic aneurysm extending from the aortic valve to the aortic bifurcation associated with severe continuous pain, dysphagia, and hoarseness. Because of the risk of impending rupture and an "elephant trunk" procedure not being an option, the entire aorta from the aortic valve to the aortic bifurcatio...

Perioperative Complications of Anesthesia

Article

Jan 1992

An overview of several perioperative complications and their management strategies is presented. Operative hypothermia, malignant hyperthermia, bronchospasm, and side effects of spinal opioid agents are discussed. Ramifications of these complications may extend well beyond the operative period and influence patient outcome. Therefore, it is necessa...