Panos Aristotelis, Myers Patrick-Olivier, Kalangos Afkskendiyos
Clinic for Cardiovascular Surgery, University Hospital of Geneva, Geneva, Switzerland.
Ann Thorac Surg. 2008 Jan;85(1):347-8. doi: 10.1016/j.athoracsur.2007.06.046.
We present our initial experience in 5 patients for open aortic arch repair with continuous antegrade perfusion of the brain and of the lower body by means of direct cannulation of the right axillary artery and of the descending aorta with a venous cannula (DLP 91037 cannula [Medtronic Inc, Minneapolis, MN]) for systemic perfusion under mild hypothermia (30 degrees C). This mode of perfusion allows safe open repair of the aortic arch, short aortic cross clamping, and CPB times associated to all the known advantages of the mild hypothermia; this technique could have the potential to be generally applicable in surgeries for aortic arch repairs after further evaluation.
我们介绍了对5例患者进行开放主动脉弓修复术的初步经验，该手术通过使用静脉插管（DLP 91037插管[美敦力公司，明尼阿波利斯，明尼苏达州]）直接插入右腋动脉和降主动脉，在轻度低温（30摄氏度）下对脑部和下半身进行持续顺行灌注，以进行全身灌注。这种灌注方式可实现主动脉弓的安全开放修复、缩短主动脉阻断时间以及体外循环时间，并具有轻度低温的所有已知优势；经过进一步评估后，该技术有可能普遍应用于主动脉弓修复手术。
