ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
A useful cannulation strategy to facilitate re-warming during total arch replacement
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
Viewed : 6823
Downloaded : 1361