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Y. Ueda, S. Miki, K. Kusuhara, Y. Okita, T. Tahata, Kazuo Yamanaka (1990)
Surgical treatment of aneurysm or dissection involving the ascending aorta and aortic arch, utilizing circulatory arrest and retrograde cerebral perfusion.The Journal of cardiovascular surgery, 31 5
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G. Deeb, Eric Jenkins, S. Bolling, Louis Brunsting, David Williams, Leslie Quint, Nancy Deeb (1995)
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B. Lytle, P. McCarthy, K. Meaney, R. Stewart, D. Cosgrove (1995)
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S. Takamoto, T. Matsuda, M. Harada, Y. Shimamura, S. Miyata (1992)
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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.
European Journal of Cardio-Thoracic Surgery – Oxford University Press
Published: Apr 1, 1997
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