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

Citation
Ci. Tchervenkov et al., Surgical technique to avoid circulatory arrest and direct arch vessel cannulation during neonatal aortic arch reconstruction, EUR J CAR-T, 19(5), 2001, pp. 708-710
Citations number
8
Categorie Soggetti
Cardiovascular & Respiratory Systems
Journal title
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
ISSN journal
10107940 → ACNP
Volume
19
Issue
5
Year of publication
2001
Pages
708 - 710
Database
ISI
SICI code
1010-7940(200105)19:5<708:STTACA>2.0.ZU;2-C
Abstract
Deep hypothermic circulatory arrest (DHCA) has been used routinely for surg ery involving the aortic arch. Recently, techniques have been developed tha t 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 di rect cannulation of the arch vessels. Five patients underwent reconstructio n of the aortic arch with concomitant biventricular intracardiac repair. Th e distal ascending aorta was cannulated and patients were systemically cool ed. 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 cannula tion of the arch vessels. All patients survived and there were no adverse n eurological outcomes. (C) 2001 Elsevier Science B.V. All rights reserved.