Recent Advances in Congenital Heart Surgery: Alternative Perfusion Strategies for Infant Aortic Arch Repair

Current Cardiology Reports
Andrew J LodgeJoseph W Turek

Abstract

This paper will discuss current cannulation strategies for infant aortic arch repair and compare them to more traditionally used techniques. Aortic arch reconstruction in infants has traditionally involved deep hypothermic circulatory arrest which results in total body ischemia. This has been associated with an increased risk of morbidity including bleeding, renal dysfunction, and neurologic injury. Advances in perfusion techniques have allowed for preserved perfusion to the brain during arch repair. Current techniques have further evolved that allow for continuous perfusion of the heart and even the lower body during arch reconstruction. With current techniques, aortic arch reconstruction in infants can be performed with continuous perfusion to the brain, heart, and lower body. Further technical refinements will be helpful, and study is necessary to evaluate the benefit of these strategies.

References

Mar 1, 1990·American Journal of Diseases of Children·P C Ferry
Jan 1, 1994·The Annals of Thoracic Surgery·J R MaultR M Ungerleider
Jul 27, 1999·The Annals of Thoracic Surgery·S M LangleyR M Ungerleider
May 8, 2002·Seminars in Thoracic and Cardiovascular Surgery. Pediatric Cardiac Surgery Annual·Richard A Jonas
Sep 13, 2006·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·Yasuhiro KotaniShunji Sano
Apr 9, 2008·Seminars in Thoracic and Cardiovascular Surgery. Pediatric Cardiac Surgery Annual·David P NelsonCharles D Fraser
Apr 9, 2008·Seminars in Thoracic and Cardiovascular Surgery. Pediatric Cardiac Surgery Annual·Sunil P Malhotra, Frank L Hanley
May 8, 2010·The Journal of Thoracic and Cardiovascular Surgery·Satish K RajagopalEmile A Bacha
Aug 30, 2011·The Annals of Thoracic Surgery·Alexandros N KaravasDavid P Bichell
Apr 17, 2012·The Journal of Thoracic and Cardiovascular Surgery·Selma O AlgraFelix Haas
May 16, 2013·The Annals of Thoracic Surgery·Joseph W TurekJames E Davis
Dec 12, 2013·World Journal for Pediatric & Congenital Heart Surgery·Teimour NasirovFrank L Hanley
Feb 6, 2014·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Maite Augusta Gil-Ruiz Gil-EsparzaJosé María Bellón Cano
Apr 15, 2014·The Annals of Thoracic Surgery·Christian PizarroEdward Woodford
Jul 5, 2015·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Igor A KornilovAlexander Y Omelchenko
Dec 4, 2015·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Alyse M CarlsonJoseph W Turek
Jul 16, 2017·The Annals of Thoracic Surgery·Muhammad Aanish RaeesDavid P Bichell

❮ Previous
Next ❯

Citations

Oct 1, 2020·Journal of Cardiac Surgery·Servet ErgünSertaç Haydin
Jul 29, 2021·JTCVS Techniques·Reilly Hobbs, Ming-Sing Si
Sep 18, 2021·The Annals of Thoracic Surgery·Reid C ChamberlainKevin D Hill

❮ Previous
Next ❯

Related Concepts

Related Feeds

Birth Defects

Birth defects encompass structural and functional alterations that occur during embryonic or fetal development and are present since birth. The cause may be genetic, environmental or unknown and can result in physical and/or mental impairment. Here is the latest research on birth defects.

Related Papers

Seminars in Thoracic and Cardiovascular Surgery. Pediatric Cardiac Surgery Annual
Toshihide Asou
European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
Hong-Gook LimChang-Ha Lee
© 2022 Meta ULC. All rights reserved