A modified procedure in aortic arch replacement with no deep hypothermic circulatory arrest

被引：5

作者：

Li, Yong ^{[1
]}

Sun, Xiaogang ^{[1
,2
,3
]}

Zhang, Xiuhui ^{[1
]}

Zhang, Yuchun ^{[1
]}

Pang, Guanghui ^{[1
]}

Ma, Hongliang ^{[1
]}

机构：

[1] Linyi Municipal Peoples Hosp, Dept Cardiovasc Surg, Linyi, Peoples R China

[2] Chinese Acad Med Sci, Cardiac Inst, Dept Cardiovasc Surg, Beijing 100037, Peoples R China

[3] Chinese Acad Med Sci, Peking Union Med Coll, Fu Wai Hosp, Beijing 100037, Peoples R China

来源：

PERFUSION-UK | 2018年 / 33卷 / 08期

关键词：

aortic; arch replacement; hypothermia; circulation; arrest;

D O I：

10.1177/0267659118781649

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Deep hypothermia or circulation arrest is widely used during total aortic arch replacement. However, conventional procedures have high morbidity and mortality.(1) We use the "branch-first" technique(2,3) combined with clamping the distal aorta, incorporating a stented elephant trunk to avoid deep hypothermia and circulation arrest. This technique brings us closer to the goal of arch surgery without cerebral or visceral circulatory arrest and the morbidity of deep hypothermia. Early results are encouraging.

引用

页码：663 / 666

页数：4

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