An Australian experience with aortic arch replacement: a novel approach without circulatory arrest or deep hypothermia

Heart, Lung & Circulation
George Matalanis, William Y Shi

Abstract

The potential risks of deep hypothermic circulatory arrest in aortic arch surgery have been well documented. Antegrade cerebral perfusion may ameliorate brain injury but still involves variable periods of cerebral and visceral ischaemia. We describe a novel "branch-first continuous perfusion" technique which avoids both deep hypothermia and circulatory arrest. This brings us closer to the goal of arch surgery without cerebral or visceral ischaemia and the morbidity of deep hypothermia.

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Citations

Jan 31, 2014·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Christine N H Tan, Alan G Fraser
Jan 15, 2016·Current Opinion in Cardiology·Vinay GargMark D Peterson
Feb 12, 2015·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Andreas MartensMalakh Shrestha
Sep 18, 2014·The Journal of Thoracic and Cardiovascular Surgery·George MatalanisSean D Galvin
Feb 2, 2019·Chinese Medical Journal·Jun ZhengHui-Qiang Gao
Mar 14, 2018·The Journal of Cardiovascular Surgery·Kangjun ShenHao Tang
Jan 26, 2021·The Journal of Thoracic and Cardiovascular Surgery·Qing LiLi-Zhong Sun

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