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

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


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This Article Abstract Free Full Text (Free PDF) Free Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in Web of Science Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Ji, B. Articles by Long, C. Search for Related Content PubMed PubMed Citation Articles by Ji, B. Articles by Long, C. Pubmed/NCBI databases Medline Plus Health Information Aortic Aneurysm Social Bookmarking                         What's this?