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Retrograde cerebral perfusion through antero-axillary thoracotomy in the aortic arch surgery

Retrograde cerebral perfusion through antero-axillary thoracotomy in the aortic arch surgery Abstract OBJECTIVE: We have recently found that left antero-axillary thoracotomyprovides an ideal view of aortic arch and makes the direct cannulation tosuperior vena cava possible for retrograde cerebral perfusion duringcirculatory arrest. METHOD: Twelve patients with distal aortic archaneurysm or aortic dissection underwent the repair of aortic arch throughthis approach. Mean duration of retrograde cerebral perfusion was 41 min.RESULTS: Two hospital deaths occurred due to respiratory failure andstroke. The remaining patients survived without any neurological deficits.CONCLUSION: Antero-axillary thoracotomy may be an ideal approach whichcombines the advantages of median sternotomy and postero-lateralthoracotomy. This content is only available as a PDF. © 1997 Elsevier Science B.V. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Cardio-Thoracic Surgery Oxford University Press

Retrograde cerebral perfusion through antero-axillary thoracotomy in the aortic arch surgery

European Journal of Cardio-Thoracic Surgery , Volume 11 (4) – Apr 1, 1997

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References (8)

Publisher
Oxford University Press
Copyright
© 1997 Elsevier Science B.V.
Subject
Articles
ISSN
1010-7940
eISSN
1873-734X
DOI
10.1016/S1010-7940(96)01135-9
Publisher site
See Article on Publisher Site

Abstract

Abstract OBJECTIVE: We have recently found that left antero-axillary thoracotomyprovides an ideal view of aortic arch and makes the direct cannulation tosuperior vena cava possible for retrograde cerebral perfusion duringcirculatory arrest. METHOD: Twelve patients with distal aortic archaneurysm or aortic dissection underwent the repair of aortic arch throughthis approach. Mean duration of retrograde cerebral perfusion was 41 min.RESULTS: Two hospital deaths occurred due to respiratory failure andstroke. The remaining patients survived without any neurological deficits.CONCLUSION: Antero-axillary thoracotomy may be an ideal approach whichcombines the advantages of median sternotomy and postero-lateralthoracotomy. This content is only available as a PDF. © 1997 Elsevier Science B.V.

Journal

European Journal of Cardio-Thoracic SurgeryOxford University Press

Published: Apr 1, 1997

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