Whole body perfusion in patients undergoing frozen elephant trunk for type A acute aortic dissections.
The Frozen Elephant Trunk (FET) can be adopted in selected type A acute aortic dissections (TAAAD). During FET, a prolonged distal circulatory arrest exposes the spine and visceral organs to potential ischemic injuries. Antegrade distal aortic perfusion (ADAP) could minimize this risk: we describe the technical aspects of the simultaneous use of antegrade cerebral perfusion (ACP) and ADAP achieving a "Whole Body Perfusion" (WBP) during FET.
1 Department of Cardiac Surgery, Circolo Hospital, University of Insubria, Varese, Italy.
Giangiuseppe
G
Cappabianca
2 Department of Cardiac Surgery, Humanitas Gavazzeni Hospital, Bergamo, Italy.
Claudio
C
Roscitano
2 Department of Cardiac Surgery, Humanitas Gavazzeni Hospital, Bergamo, Italy.
Samuele
S
Bichi
2 Department of Cardiac Surgery, Humanitas Gavazzeni Hospital, Bergamo, Italy.
Antonio
A
Cricco
2 Department of Cardiac Surgery, Humanitas Gavazzeni Hospital, Bergamo, Italy.
Matteo
M
Parrinello
1 Department of Cardiac Surgery, Circolo Hospital, University of Insubria, Varese, Italy.
Cesare
C
Beghi
2 Department of Cardiac Surgery, Humanitas Gavazzeni Hospital, Bergamo, Italy.
Giovanni
G
Albano
2 Department of Cardiac Surgery, Humanitas Gavazzeni Hospital, Bergamo, Italy.
Giampiero
G
Esposito
D000208:Acute Disease; D000784:Aortic Dissection / Q000503:physiopathology / Q000601:surgery / Q000628:therapy*; D001011:Aorta / Q000503:physiopathology / Q000601:surgery; D001921:Brain / Q000098:blood supply; D002315:Cardiopulmonary Bypass / Q000295:instrumentation / Q000379:methods*; D002404:Catheterization / Q000295:instrumentation / Q000379:methods; D004867:Equipment Design; D006801:Humans; D010477:Perfusion / Q000295:instrumentation / Q000379:methods*
distal aortic perfusion; frozen elephant trunk