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Techniques for Retrograde Cerebral Perfusion in the Treatment of Aortic Lesions via Left Thoracotomy
Author(s) -
Atay Yüksel,
Yagdi Tahir,
Hamulu Ahmet,
Alayunt Alp,
Bilkay Önol,
Büket Suat
Publication year - 1997
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/j.1540-8191.1997.tb00128.x
Subject(s) - medicine , aortic arch , cerebral perfusion pressure , thoracotomy , deep hypothermic circulatory arrest , descending aorta , circulatory system , thoracic aorta , aorta , perfusion , retrograde perfusion , cardiology , cardiopulmonary bypass , surgery
A bstract Retrograde cerebral perfusion under deep hypothermic circulatory arrest is a simple and useful adjunct in aortic surgery and is performed by many surgeons in the treatment of aortic arch pathology. In recent years, this technique has been recommended in the surgery of distal arch and proximal descending aortic lesions through a left thoracotomy incision. The aim of the technique is to increase the right atrial pressure for retrograde cerebral perfusion. After cooling using femorofemoral bypass, circulatory arrest is initiated. The right atrial pressure is increased to 20 mmHg, and retrograde cerebral circulation results. In this article, five patients with distal aortic arch and proximal descending thoracic aortic lesions who were operated on by using this technique were evaluated. It is suggested that this technique can be used with a lateral thoracotomy approach that is suitable for procedures on a distal aortic arch and proximal descending aorta.