PMID: 11343957May 10, 2001Paper

Surgical technique to avoid circulatory arrest and direct arch vessel cannulation during neonatal aortic arch reconstruction

European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
C I TchervenkovD Shum-Tim

Abstract

Deep hypothermic circulatory arrest (DHCA) has been used routinely for surgery involving the aortic arch. Recently, techniques have been developed that avoid circulatory arrest and maintain low-flow cerebral perfusion (LFCP) in an attempt to avoid the potential neurological sequelae associated with DHCA. We describe a technique of LFCP that avoids circulatory arrest and direct cannulation of the arch vessels. Five patients underwent reconstruction of the aortic arch with concomitant biventricular intracardiac repair. The distal ascending aorta was cannulated and patients were systemically cooled. The cannula was advanced into the innominate artery and snared in place prior to opening and reconstructing the aorta with continuous LFCP. In all five patients, we completely avoided circulatory arrest and direct cannulation of the arch vessels. All patients survived and there were no adverse neurological outcomes.

References

May 1, 1996·The Annals of Thoracic Surgery·T AsouH Yasui
Sep 4, 1999·The Annals of Thoracic Surgery·Y ImotoH Yasui
Jan 29, 2000·The Journal of Thoracic and Cardiovascular Surgery·F A PigulaR D Siewers
May 18, 2000·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·K IshinoS Sano
Nov 28, 2000·The Annals of Thoracic Surgery·C I TchervenkovT U Reyes

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Citations

May 28, 2005·The Annals of Thoracic Surgery·Takashi MiyamotoAndreas E Urban
Jan 17, 2004·The Annals of Thoracic Surgery·Jutta WetterAndreas E Urban
Oct 31, 2008·Journal of the Formosan Medical Association = Taiwan Yi Zhi·Meng-Lin LeeMei-Hwan Wu
Jan 1, 2008·Multimedia Manual of Cardiothoracic Surgery : MMCTS·François Lacour-Gayet, Steven Goldberg
May 23, 2012·The Annals of Thoracic Surgery·Diane de ZélicourtAjit P Yoganathan
Jun 30, 2009·The Annals of Thoracic Surgery·Jorge D SalazarRobert DiGeronimo
Feb 24, 2005·Journal of Cardiac Surgery·Gürkan CetinErtan Onursal
May 8, 2002·Seminars in Thoracic and Cardiovascular Surgery. Pediatric Cardiac Surgery Annual·Malcolm J MacDonaldV Mohan Reddy
May 8, 2002·Seminars in Thoracic and Cardiovascular Surgery. Pediatric Cardiac Surgery Annual·Stephen J KorkolaDominique Shum-Tim
Jul 13, 2004·Cardiology in the Young·Christo I TchervenkovDominique Shum-Tim
Jul 13, 2004·Cardiology in the Young·Christo I Tchervenkov
Mar 8, 2002·The Journal of Thoracic and Cardiovascular Surgery·Régine RoussinAlain Serraf

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