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Alternative Perfusion Technique Without Axillary Artery Cannulation During Combined Aortic Root and Total Arch Replacement
Author(s) -
Alameddine Abdallah K.,
Alimov V.K.,
Flack J.E.
Publication year - 2013
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/jocs.12114
Subject(s) - medicine , axillary artery , aortic root , perfusion , aortic arch , cerebral perfusion pressure , circulatory system , arterial perfusion , cardiology , artery , aorta , surgery
This report describes an effective cerebral perfusion method using an additional 4th side limb graft sewn to a trifurcated graft in patients undergoing redo aortic root reconstruction combined with total aortic arch replacement. This method is useful in cases where the origin of the innominate artery is unsuitable for clamping or when axillary perfusion is not employed, and assures continuous brain protection and minimizes circulatory arrest time. doi: 10.1111/jocs.12114 (J Card Surg 2013;28:427–429)