Li Yong, Sun Xiaogang, Zhang Xiuhui, Zhang Yuchun, Pang Guanghui, Ma Hongliang
1 Department of Cardiovascular Surgery, Linyi Municipal People's Hospital, Linyi, China.
2 Department of Cardiovascular Surgery, Cardiac Institute and Fu Wai Hospital Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, China.
Perfusion. 2018 Nov;33(8):663-666. doi: 10.1177/0267659118781649. Epub 2018 Jul 2.
Deep hypothermia or circulation arrest is widely used during total aortic arch replacement. However, conventional procedures have high morbidity and mortality. We use the "branch-first" technique combined with clamping the distal aorta, incorporating a stented elephant trunk to avoid deep hypothermia and circulation arrest. This technique brings us closer to the goal of arch surgery without cerebral or visceral circulatory arrest and the morbidity of deep hypothermia. Early results are encouraging.
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