title: Three-region perfusion strategy for aortic arch reconstruction in the Norwood.
abstract: We describe a new method of selective regional perfusion during arch reconstruction in the Norwood procedure. The strategy involves direct sequential perfusion of the coronary and splanchnic circulations coupled with continuous cerebral perfusion, while repairing the arch in a distal to proximal fashion. This technique provides the potential for decreased coronary and splanchnic ischemic times, which in combination with continuous selective cerebral perfusion may further allow for warmer operating temperatures and decreased overall bypass times.
authors.affiliation: Department of Cardiac Surgery, Vanderbilt University School of Medicine, Vanderbilt Children's Hospital, Vanderbilt University Medical Center, Nashville, Tennessee 37232-9292, USA.
authors.forename: Alexandros N
authors.initials: AN
authors.lastname: Karavas
authors.forename: Benjamin W
authors.initials: BW
authors.lastname: Deschner
authors.forename: John W
authors.initials: JW
authors.lastname: Scott
authors.forename: Bret A
authors.initials: BA
authors.lastname: Mettler
authors.forename: David P
authors.initials: DP
authors.lastname: Bichell
mesh_terms: D001013:Aorta, Thoracic / Q000601:surgery*; D002560:Cerebrovascular Circulation / Q000502:physiology; D003326:Coronary Circulation / Q000502:physiology; D006330:Heart Defects, Congenital / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D007231:Infant, Newborn; D058327:Norwood Procedures / Q000379:methods*; D010477:Perfusion / Q000379:methods / Q000592:standards*; D017410:Practice Guidelines as Topic; D020127:Recovery of Function; D013152:Splanchnic Circulation / Q000502:physiology; D016896:Treatment Outcome