title: Arch-first technique for aortic arch aneurysm repair through median sternotomy.
abstract: We describe a modified arch-first technique for total arch replacement through median sternotomy. This technique involves a short period of circulatory arrest (less than 30 minutes) and subsequent anterior cerebral perfusion. It does not require cannulation of the carotid vessels, which can cause cerebral thromboembolism, and it enables anterior cerebral perfusion to be resumed after a relatively short period of circulatory arrest. This appears to be a useful technique to reduce cerebral complications in complicated arch reconstruction operation for patients with severely atherosclerotic carotid vessels.
authors.affiliation: Department of Surgery, Osaka University Graduate School of Medicine, Suita, Japan.
authors.forename: Motonobu
authors.initials: M
authors.lastname: Nishimura
authors.forename: Shigeaki
authors.initials: S
authors.lastname: Ohtake
authors.forename: Yoshiki
authors.initials: Y
authors.lastname: Sawa
authors.forename: Toshiki
authors.initials: T
authors.lastname: Takahashi
authors.forename: Goro
authors.initials: G
authors.lastname: Matsumiya
authors.forename: Koji
authors.initials: K
authors.lastname: Kagisaki
authors.forename: Yuji
authors.initials: Y
authors.lastname: Miyamoto
authors.forename: Hikaru
authors.initials: H
authors.lastname: Matsuda
mesh_terms: D001013:Aorta, Thoracic / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D002560:Cerebrovascular Circulation / Q000502:physiology; D002561:Cerebrovascular Disorders / Q000517:prevention & control; D006324:Heart Arrest, Induced; D006801:Humans; D010477:Perfusion / Q000379:methods; D013249:Sternum / Q000601:surgery*; D014656:Vascular Surgical Procedures / Q000379:methods