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Ann Thorac Surg 1993;55:1566-1567
© 1993 The Society of Thoracic Surgeons

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Articles

Continuous retrograde cerebral perfusion during an aortic arch operation

Oxford Heart Centre, The John Radcliffe Hospital, Oxford, United Kingdom

Accepted for publication July 27, 1992.

^_* Address reprint requests to Dr Pillai, Oxford Heart Centre, The John Radcliffe Hospital, Headley Way, Oxford OX3 9DU, United Kingdom.

An 81-year-old woman presented with acute aortic regurgitation in the setting of an aneurysm of the ascending aorta and arch. The aortic valve, ascending aorta, and arch were replaced with a composite graft during continuous hypothermic total-body perfusion. Continuous cerebral perfusion was carried out by low-pressure retrograde perfusion via the superior vena cava while perfusion of the lower body was maintained via a femoral arterial cannula.

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