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Ann Thorac Surg 1997;64:565-567
© 1997 The Society of Thoracic Surgeons

How To Do It

Thoracic Aortic Operations: Management of Maldistribution of Arterial Flow During Cardiopulmonary Bypass

Hassan Najafi, MD, Ramesh Veeragandham, MD

Department of Cardiovascular-Thoracic Surgery and Rush Heart Institute, Rush Medical College and Rush-Presbyterian- St. Luke's Medical Center, Chicago, Illinois

Accepted for publication March 7, 1997.

On three occasions during operations for aortic aneurysm involving the ascending aorta it was noted that upon the release of the aortic clamp the grafted segment remained collapsed, indicating very little or no flow reaching the lumen of the reconstructed aorta. This was promptly and successfully remedied in 2 patients by perfusing the graft directly with a pediatric arterial catheter attached to a pump head while the femoral arterial line maintained systemic arterial inflow. This simple, safe, and highly effective technique adds to the surgeon's repertoire to manage yet another intriguing intraoperative development during thoracic aortic operations.




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