title: Improved brain and myocardial protection during complex aortic reinterventions.
abstract: In redo aortic surgery, an important issue of brain and myocardial protection is raised in patients presenting with large aneurysm (or pseudoaneurysm) adherent to the sternum and severe aortic valve regurgitation. We present our technique involving antegrade brain perfusion before resternotomy and left ventricle venting through the apex using a small anterolateral left thoracotomy.
authors.affiliation: Department of Cardiac Surgery, S'Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy. marco.dieusanio2@unibo.it
authors.forename: Marco
authors.initials: M
authors.lastname: Di Eusanio
authors.forename: Carlo
authors.initials: C
authors.lastname: Savini
authors.forename: Gianluca
authors.initials: G
authors.lastname: Folesani
authors.forename: Roberto
authors.initials: R
authors.lastname: Di Bartolomeo
mesh_terms: D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D002545:Brain Ischemia / Q000517:prevention & control*; D002315:Cardiopulmonary Bypass; D002560:Cerebrovascular Circulation; D003326:Coronary Circulation; D006801:Humans; D017202:Myocardial Ischemia / Q000517:prevention & control*