Continuous retrograde cerebral perfusion during an aortic arch operation.
An 81-year-old woman presented with acute aortic regurgitation in the setting of an aneurysm of the ascending aorta and arch. The aortic valve, ascending aorta, and arch were replaced with a composite graft during continuous hypothermic total-body perfusion. Continuous cerebral perfusion was carried out by low-pressure retrograde perfusion via the superior vena cava while perfusion of the lower body was maintained via a femoral arterial cannula.
Oxford Heart Centre, John Radcliffe Hospital, United Kingdom.
G A
GA
Amarasena
A J
AJ
Parry
B
B
Johnston
R
R
Pillai
D000368:Aged; D000369:Aged, 80 and over; D001011:Aorta / Q000601:surgery; D001013:Aorta, Thoracic / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D001021:Aortic Valve; D001022:Aortic Valve Insufficiency / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D002315:Cardiopulmonary Bypass / Q000379:methods*; D002560:Cerebrovascular Circulation / Q000502:physiology*; D005260:Female; D006350:Heart Valve Prosthesis; D006801:Humans; D007430:Intraoperative Care / Q000379:methods; D010477:Perfusion; D014683:Vena Cava, Superior