Open AccessTotal Aortic Arch Replacement: Case Report of the first successful total arch replacement in Nepal and Review of contemporary techniques in arch surgery
Author(s) -
Rabindra Timala,
Ashish Amatya,
Nishes Basnet,
Rupak Pradhan,
D Joshi,
Marisha Aryal,
Navin Gautam
Publication year - 2021
Publication title -
nepalese heart journal/nepalese heart journal
Language(s) - English
Resource type - Journals
eISSN - 2382-5464
pISSN - 2091-2978
DOI - 10.3126/njh.v18i2.40411
Subject(s) - arch , cerebral perfusion pressure , aortic arch , medicine , deep hypothermic circulatory arrest , surgery , coagulopathy , perfusion , aneurysm , cardiology , aorta , engineering , civil engineering
Aortic arch replacement is formidable cardiac surgery that is fraught with complications like brain injury, coagulopathy along with high mortality. Over the past several years, various techniques like deep hypothermic circulatory arrest, retrograde cerebral perfusion, and selective antegrade cerebral perfusion along with branched graft techniques have been developed with better early outcomes. We share our experience of successful replacement of ascending and total aortic arch in a 60 years old female, who presented with ascending and aortic arch aneurysm.