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Ann Thorac Surg 1994;57:243-245
© 1994 The Society of Thoracic Surgeons

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Articles

Adjuncts to reduce the incidence of embolic brain injury during operations on the aortic arch

Division of Cardiothoracic Surgery, Washington University School of Medicine, St. Louis, Missouri, USA

Accepted for publication September 30, 1993.

^_* Address reprint requests to Dr Kouchoukos, Department of Surgery, Jewish Hospital at Washington University Medical Center, 216 S Kingshighway Blvd, St. Louis, MO 63110.

Two adjunctive techniques for operations involving the aortic arch, retrograde perfusion of cold oxygenated blood through the superior vena cava and establishment of antegrade flow after hypothermic circulatory arrest, are described. These techniques should reduce or possibly eliminate the embolization of air and particulate matter into the cerebral circulation and may reduce the incidence of brain injury.

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