Cerebral perfusion through separate grafts for repair of acute aortic dissection with torn arch
Makaleler > Tam Makale · 2001
Yazarlar: Anıl Ziya APAYDIN, Hakan POSACIOĞLU, İsmet Tanzer ÇALKAVUR, Fatih İSLAMOĞLU, H UC, S BUKET
TEXAS HEART INSTITUTE JOURNAL, SCI Expanded İndekslerine Giren Dergi, Uluslararası, 2001, cilt 28, ss 288-291
Özet
We have modified the technique of cerebral perfusion through anastomosed grafts for repair of acute arch dissections that require total arch replacement. We have performed this operation on a 71-year-old man with an acute type-A dissection and an arch tear between the orifices of the brachiocephalic arteries, We used 2 separate grafts for the brachiocephalic arteries and minimized brain Ischemia by initiating antegrade selective cerebral perfusion after the 1st anastomosis. The patient had an excellent outcome. This method is simple and provides effective protection. Cerebral ischemic time can be kept under 30 minutes without need of a sophisticated pump setup or a multibranched graft, This affords extra time in case the surgeon encounters an unexpected lesion in the arch.