Thorac Cardiovasc Surg 2007; 55(5): 327-329
DOI: 10.1055/s-2006-955960
Short Communications

© Georg Thieme Verlag KG Stuttgart · New York

Aortic Arch Replacement without Circulatory Arrest: A Simplified Technique with Two Grafts

O. S. Goksel1 , O. Sayın1 , M. Ugurlucan1 , Z. Sungur2 , E. Tireli1 , E. Dayıoglu1
  • 1Department of Cardiovascular Surgery, Istanbul University, Istanbul Medical Faculty, Istanbul, Turkey
  • 2Department of Anesthesiology and Renanimation, Istanbul University, Istanbul Medical Faculty, Istanbul, Turkey
Further Information

Publication History

Received June 29, 2006

Publication Date:
16 July 2007 (online)

Introduction

Aortic arch reconstruction remains a challenge for the cardiothoracic surgeon. Prolonged periods of cardiopulmonary bypass (CPB) with deep hypothermic circulatory arrest (DHCA) have been shown to be the most important intraoperative determinant for adverse outcomes [[1], [2], [3]]. We present our simplified technique in which we used two grafts for arch reconstruction without DHCA.

References

  • 1 Kazui T, Washiyama N, Muhammad B AD. et al . Total arch replacement using aortic arch branched grafts with the aid of antegrade elective cerebral perfusion.  Ann Thorac Surg. 2000;  70 3-9
  • 2 Di Euisanio M, Schepens M AAM, Morshuis W J. et al . Separate grafts or en bloc anastomosis for arch vessels reimplantation to the aortic arch.  Ann Thorac Surg. 2004;  77 2021-2028
  • 3 Kazui T, Yamashita K, Washiyama N. et al . Usefulness of antegrade selective cerebral perfusion during aortic arch operations.  Ann Thorac Surg. 2002;  74 S1806-S1809
  • 4 Ueda T, Shimizu H, Hashizume K. et al . Mortality and morbidity after total arch replacement using a branched arch graft with selective antegrade cerebral perfusion.  Ann Thorac Surg. 2003;  76 1951-1956
  • 5 Kouchoukos N T, Masetti P. Total arch replacement with a branched graft and limited circulatory arrest of the brain.  J Thorac Cardiovasc. 2004;  128 233-237

MD Onur S. Goksel

Department of Cardiovascular Surgery
Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Center

4. Gazeteciler Sitesi; C3 Blok, Da: 16

1. Levent Istanbul 80630

Turkey

Fax: + 90 21 25 30 64 08

Email: onurgokseljet@gmail.com

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