title: Totally normothermic aortic arch replacement without circulatory arrest.
abstract: The authors propose a new strategy of normothermic perfusion for replacement of the aortic arch to avoid the complications of profound hypothermic circulatory arrest. Six patients underwent complete replacement of the aortic arch under normothermia using two pumps for the body (one for the brain and the thoracoabdominal aortic branches) and one for the heart. The surgical procedure was performed with no time limit. There were no operative or late deaths. No patients had neurologic deficit and all were rapidly extubated with uneventful postoperative courses. The method preserves autoregulation of cerebral blood flow and maintains body perfusion without high vascular resistances.
authors.affiliation: Department of Cardiovascular Surgery, Centre Hospitalier et Universitaire d'Amiens, Hôpital Sud 80054, Amiens Cedex 01, France. gtouati.hms@invivo.edu
authors.forename: Gilles D
authors.initials: GD
authors.lastname: Touati
authors.forename: Nicolas
authors.initials: N
authors.lastname: Roux
authors.forename: Doron
authors.initials: D
authors.lastname: Carmi
authors.forename: Alexandra
authors.initials: A
authors.lastname: Degandt
authors.forename: Amar
authors.initials: A
authors.lastname: Benamar
authors.forename: Paul
authors.initials: P
authors.lastname: Marticho
authors.forename: Alphonse
authors.initials: A
authors.lastname: Nzomvuama
authors.forename: Henri J
authors.initials: HJ
authors.lastname: Poulain
mesh_terms: D000328:Adult; D000368:Aged; D001013:Aorta, Thoracic / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D002315:Cardiopulmonary Bypass / Q000379:methods*; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications; D013696:Temperature