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Hiroshi Okamoto
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Ann Thorac Surg 1992;53:655-658
© 1992 The Society of Thoracic Surgeons

Articles

Clinical application of total body retrograde perfusion to operation for aortic dissection

Kenzo Yasuura, MD*, Yutaka Ogawa, MD, Hiroshi Okamoto, MD, Teiji Asakura, MD, Motoaki Hoshino, MD, Masaru Sawazaki, MD, Akio Matsuura, MD, Takashi Maseki, MD, Toshio Abe, MD

Department of Thoracic Surgery, Nagoya University School of Medicine, Nagoya, Japan

Accepted for publication September 26, 1991.

* Address reprint requests to Dr Yasuura, Department of Thoracic Surgery, Nagoya University School of Medicine, Tsurumai-chou 65, Shouwa-ku, Nagoya, Japan.

The use of profound hypothermia and total circulatory arrest in the surgical treatment of aortic dissection has previously been reported. However, the safe period of prolonged circulatory arrest with hypothermia remains controversial. We have developed a technique of hypothermic total body retrograde perfusion to achieve systemic organ protection: cerebral protection by continuous retrograde perfusion through the superior vena cava, myocardial protection by coronary sinus infusion, and abdominal visceral organ perfusion by continuous retrograde perfusion through the inferior vena cava. Our technique yields a relatively bloodless operating field and avoids hypoperfusion of vital organs through a false lumen.




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