The effects of antedgrade cerebral perfusion on immediate postoperative outcome in neonatal and infant aortic arch repair concomitant with intracardiac surgery

2013 ◽  
Author(s):  
Ali Riza Karaci ◽  
Ahmet Sasmazel ◽  
Reyhan Dedeoglu ◽  
Numan Ali Aydemir ◽  
Bugra Harmandar ◽  
...  
Keyword(s):  
Aortic Arch ◽  
Cerebral Perfusion ◽  
Postoperative Outcome ◽  
Aortic Arch Repair ◽  
Intracardiac Surgery

Mid-Long-Term Results After Aortic Arch Repair Using a Four-Branched Graft With Antegrade Selective Cerebral Perfusion

2013 ◽  
Vol 28 (5) ◽  
pp. 537-542 ◽  
Author(s):  
Satoshi Numata ◽  
Yasushi Tsutsumi ◽  
Osamu Monta ◽  
Sachiko Yamazaki ◽  
Hiroyuki Seo ◽  
...  
Keyword(s):  
Aortic Arch ◽  
Cerebral Perfusion ◽  
Long Term Results ◽  
Selective Cerebral Perfusion ◽  
Aortic Arch Repair ◽  
Branched Graft ◽  
Antegrade Selective Cerebral Perfusion

scholarly journals Markers of peripheral perfusion during high-flow regional cerebral perfusion for aortic arch repair

2018 ◽  
Vol 156 (6) ◽  
pp. 2251-2257 ◽  
Author(s):  
Koichi Sughimoto ◽  
Satoshi Kohira ◽  
Hidenori Hayashi ◽  
Shinzo Torii ◽  
Tadashi Kitamura ◽  
...  
Keyword(s):  
Aortic Arch ◽  
Cerebral Perfusion ◽  
High Flow ◽  
Peripheral Perfusion ◽  
Aortic Arch Repair

Retrograde cerebral perfusion: overview, techniques and results

Perfusion ◽  
1995 ◽  
Vol 10 (1) ◽  
pp. 51-57 ◽  
Author(s):  
Steven A Raskin ◽  
Joseph S Coselli
Keyword(s):  
Aortic Arch ◽  
Cerebral Perfusion ◽  
Circulatory Arrest ◽  
Clinical Results ◽  
Morbidity And Mortality ◽  
High Morbidity ◽  
Retrograde Cerebral Perfusion ◽  
Profound Hypothermia ◽  
Neurological Morbidity ◽  
Aortic Arch Repair

Cardiovascular surgical repair of arch aneurysms is taking a step forward by going backwards by utilizing retrograde cerebral perfusion. Drs ME DeBakey, ES Crawford, DA Cooley and GC Morris first reported successful resection and repair of a fusiform aneurysm of the aortic arch with replacement graft in 1957.1 Since then, Crawford and Coselli have pursued materials and techniques which have made this procedure, one which generally resulted in high morbidity and mortality, more viable with decreased morbidity and mortality. Increased numbers of patients are now having this repair and are resuming normal healthy lives after the operation. From February 1992 to October 1993, 88 patients were surgically treated by Coselli who utilized retrograde cerebral perfusion with profound hypothermia and circulatory arrest, thus allowing for repairs that under any other conditions probably could not have been achieved successfully. It is evident that a major determinant for the successful clinical results, in addition to surgical technique and skill, was the employment of profound hypothermia and circulatory arrest. This article will review the techniques and results of aortic arch repair utilizing retrograde cerebral perfusion during circulatory arrest with profound hypothermia to lessen the chance of neurological morbidity following surgical replacement of the transverse aortic arch.

scholarly journals Aortic Arch Aneurysm Repair under Deep Hypothermic Circulatory Arrest

2017 ◽  
Vol 6 (1) ◽  
pp. 39-43
Author(s):  
Jeju Nath Pokharel ◽  
MR Upreti ◽  
DR Shakya ◽  
Bhagwan Koirala ◽  
Jyotindra Sharma ◽  
...  
Keyword(s):  
Aortic Arch ◽  
Cerebral Perfusion ◽  
Circulatory Arrest ◽  
Deep Hypothermic Circulatory Arrest ◽  
Hypothermic Circulatory Arrest ◽  
First Case ◽  
Aortic Arch Repair ◽  
Aneurysm Repair ◽  
Arch Aneurysm ◽  
Antegrade Cerebral Perfusion

A 46 years female underwent aortic arch repair surgery under deep hypothermic circulatory arrest (DHCA) and right antegrade cerebral perfusion. The patient was extubnated after 13 hours of the surgery and discharged from SICU on third post operative day and discharged from hospital on sixth postoperative day uneventfully and with excellent neurological functions. It was the first case of aortic arch repair in our hospital. Combination of DHCA and right antegrade cerebral perfusion may be the reason for better neurological outcome.

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