Liebrich Markus, Schweder Marco, Seeburger Joerg, Voth Vladimir
Departement of Cardiac Surgery, Sana Herzchirurgie Stuttgart GmbH, Stuttgart, Baden-Württemberg, Germany.
Thorac Cardiovasc Surg Rep. 2022 Aug 24;11(1):e47-e49. doi: 10.1055/s-0042-1750428. eCollection 2022 Jan.
Organ and end-organ protection in aortic arch surgery represents a substantial challenge, especially in infants. Selective antegrade cerebral perfusion has been reported to improve organ function during this procedure. Visceral perfusion can be optimized by cannulation of the descending aorta during infant aortic arch surgery, leading to a decrease in end organ damage. However, it is associated with extensive surgical manipulation and subsequent risk of major vessel and potential organ damage. In this report, we describe a technique for distal body perfusion in an infant with hypoplastic aortic arch and isthmus stenosis by ultrasound-guided cannulation of the femoral artery using an intra-arterial vascular sheath establishing whole-body perfusion by triple cannulation.
在主动脉弓手术中，器官和终末器官保护是一项重大挑战，尤其是在婴儿中。据报道，选择性顺行脑灌注可在此手术过程中改善器官功能。在婴儿主动脉弓手术期间，通过降主动脉插管可优化内脏灌注，从而减少终末器官损伤。然而，这与广泛的外科操作以及随后的大血管和潜在器官损伤风险相关。在本报告中，我们描述了一种通过超声引导使用动脉内血管鞘对股动脉进行插管，为患有主动脉弓发育不全和峡部狭窄的婴儿进行远端身体灌注的技术，通过三重插管建立全身灌注。
