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Perfusion, Vol. 21, No. 5, 255-258 (2006)
DOI: 10.1177/0267659106074766

The application of a modified technique of SCP under DHCA during total aortic arch replacement combined with stented elephant trunk implantation

Bingyang Ji

Department of Cardiopulmonary Bypass, Cardiovascular Institute and Fuwai Hospital, Beijing, China; Department of Pediatrics, Penn State College of Medicine, Hershey, USA

Lizhong Sun

Department of Cardiac Surgery, Cardiovascular Institute and Fuwai Hospital, Beijing, China

Jinping Liu

Department of Cardiopulmonary Bypass, Cardiovascular Institute and Fuwai Hospital, Beijing, China

Mingzheng Liu

Department of Anesthesiology, Cardiovascular Institute and Fuwai Hospital, Beijing, China

Guimin Sun

Department of Cardiopulmonary Bypass, Cardiovascular Institute and Fuwai Hospital, Beijing, China

Guyan Wang

Department of Anesthesiology, Cardiovascular Institute and Fuwai Hospital, Beijing, China

Zhigang Liu

Department of Cardiac Surgery, Cardiovascular Institute and Fuwai Hospital, Beijing, China

Zhengyi Feng

Cun Long

Department of Cardiopulmonary Bypass, Cardiovascular Institute and Fuwai Hospital, Beijing, China

We reviewed the perfusion experiences of 60 cases with a modified technique of selected cerebral perfusion (SCP) under deep hypothermic circulatory arrest (DHCA) during ascending aorta and total aortic arch replacement combined with transaortic stented graft implantation into the descending aorta for acute and chronic type A aortic dissection. Right auxiliary artery cannulation was routinely used for cardiopulmonary bypass (CPB) and SCP in this procedure. Generally, this technique requires two main pumps for two arterial lines before we applied the modified technique; one for CPB and the other for SCP. In order to simplify the circuit of the extracorporeal circuit (ECC) to operate easily, the arterial line was separated into two branches with a Y–connector on the operating table, one for axillary artery perfusion and the other for graft perfusion connected to the ECC set–up. This method is easy for the perfusionist to install and convenient for the surgeon. This is a safe and simple to use modified technique for SCP under DHCA during ascending aorta and total aortic arch replacement combined with transaortic stented graft implantation into the descending aorta.


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