A useful cannulation strategy to facilitate re-warming during total arch replacement

doi:10.5606/tgkdc.dergisi.2016.12073

Ozan Onur Balkanay, Deniz Göksedef, Suat Nail Ömeroğlu, Gökhan İpek

Department of Cardiovascular Surgery, İstanbul University, Cerrahpaşa Medical Faculty, İstanbul, Turkey

DOI : 10.5606/tgkdc.dergisi.2016.12073

“Distal-first” surgical technique with antegrade cerebral perfusion and early re-warming is a secure and comfortable method for aortic arch replacement. By using this technique, we can minimize total circulatory arrest and hypothermic periods. Cerebral morbidities can be reduced by antegrade cerebral perfusion which is achieved via both axillary cannulation and balloon-catheters. Distal organ, cerebral, and renal morbidities can be minimized by early femoral arterial perfusion and early re-warming that is re-started immediately after distal anastomosis is performed.

Keywords : Anastomosis; aortic arch; circulatory arrest; deep hypothermia induced; surgery

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