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Ann Thorac Surg 1992;54:566-568
© 1992 The Society of Thoracic Surgeons
Department of Cardiovascular Surgery and Division II, Department of Surgery, Miki City Hospital, Kobe University School of Medicine, Hyogo, Japan
Accepted for publication December 26, 1991.
* Address reprint requests to Dr Yamashita, Division II, Department of Surgery, Kobe University School of Medicine, 7-5-2 Kusunoki cho Chuoku, Kobe, 650, Japan.
Two surgical cases of aortic arch aneurysms are presented. Retrograde (venoarterial) cerebral perfusion during circulatory arrest under deep hypothermia was performed to evacuate air and debris in cerebral vessels and preserve cerebral tissue. On postoperative day 1, the patients were conscious and alert with no neurological deficit. This technique is simple and can be applied during standard cardiopulmonary bypass. The technique is useful to avoid cerebral air and thromboembolisms.
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