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The Annals of Thoracic Surgery, Vol 49, 970-972, Copyright © 1990 by The Society of Thoracic Surgeons
S Sano and RB Mee
Repair of coarctation of the aorta with severe hypoplasia of the aortic
arch or interrupted aortic arch was performed in 5 patients using a
modification of the usual technique that consisted of isolated myocardial
perfusion during arch repair. The aortic cross-clamp was placed on the
ascending aorta distal to the aortic cannula. Cardiopulmonary bypass flow
was reduced to about 10% of full flow, achieving a line pressure of 35 to
45 mm Hg to keep the heart perfused and beating during arch repair. Once
the aortic arch was repaired, total body perfusion was continued as usual
and intracardiac repair was performed. Isolated myocardial perfusion for
aortic arch reconstruction reduces myocardial ischemic time.
ARTICLES
Isolated myocardial perfusion during arch repair
Department of Cardiac Surgery, Royal Children's Hospital, Melbourne, Australia.
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