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Ann Thorac Surg 1993;56:981-983
© 1993 The Society of Thoracic Surgeons

Articles

Retrograde vital organ perfusion during aortic arch repair

George Matalanis, FRACS, Brian F. Buxton, FRACS*

Cardiac Surgery Department, Austin Hospital, Heidelberg, Victoria, Australia

Accepted for publication April 20, 1993.

* Address reprint requests to Dr Buxton, Cardiac Surgery Department, Austin Hospital, Heidelberg, Victoria 3034, Australia.

A technique is described for cerebral and other vital organ preservation during aortic arch repair using retrograde venous perfusion at 20 °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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