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The Annals of Thoracic Surgery, Vol 56, 981-983, Copyright © 1993 by The Society of Thoracic Surgeons

ARTICLES

Retrograde vital organ perfusion during aortic arch repair

G Matalanis and BF Buxton
Cardiac Surgery Department, Austin Hospital, Heidelberg, Victoria, Australia.

A technique is described for cerebral and other vital organ preservation during aortic arch repair using retrograde venous perfusion at 20 degrees C. This technique retains the excellent operating conditions of deep hypothermia and circulatory arrest. Potential benefits include shortening of the cooling and rewarming time, reduction of coagulopathy, prevention of emboli, and extension of the safe period of antegrade circulatory arrest.

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