Selective cerebral perfusion with aortic cannulation and short-term hypothermic circulatory arrest in aortic arch reconstruction

Turkoz R., Saritas B., Ozker E., Vuran C., Yoruker U., Balci S., ...More

PERFUSION-UK, vol.29, no.1, pp.70-74, 2014 (SCI-Expanded) identifier

  • Publication Type: Article / Article
  • Volume: 29 Issue: 1
  • Publication Date: 2014
  • Doi Number: 10.1177/0267659113496581
  • Journal Name: PERFUSION-UK
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.70-74
  • Keywords: selective cerebral perfusion, hypothermic circulatory arrest, aortic arch, reconstruction, myocardial perfusion, INFANT HEART-SURGERY, LOW-FLOW PERFUSION, CARDIOPULMONARY BYPASS, MYOCARDIAL-PERFUSION, TRIAL, COARCTATION, OUTCOMES, REPAIR
  • Acibadem Mehmet Ali Aydinlar University Affiliated: No

Abstract

Background: The deep hypothermic circulatory arrest (DHCA) technique has been used in aortic arch and isthmus hypoplasia for many years. However, with the demonstration of the deleterious effects of prolonged DHCA, selective cerebral perfusion (SCP) has started to be used in aortic arch repair. For SCP, perfusion via the innominate artery route is generally preferred (either direct innominate artery cannulation or re-routing of the cannula in the aorta is used). Herein, we describe our technique and the result of arch reconstruction in combination with selective cerebral and myocardial perfusion (SCMP) and short-term total circulatory arrest (TCA) (5-10 min) through ascending aortic cannulation.