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Ann Thorac Surg 2000;69:1243-1244
© 2000 The Society of Thoracic Surgeons

CASE REPORTS

Retrograde cerebral perfusion with hypothermic circulatory arrest in a child

Unal Acikel, MDa, Baran S. Ugurlu, MDa, Ozalp Karabay, MDa, Erdem Silistreli, MDa, Oztekin Oto, MDa

a Department of Cardiothoracic Surgery, Dokuz Eylul University Medical School, Izmir, Turkey

Address reprint requests to Dr Acikel, Dokuz Eylul Universitesi Tip Fakultesi, Gogus Kalp Damar Cerrahisi Anabilim Dali, Inciralti 35340, Izmir, Turkey
e-mail: ugurlub{at}yahoo.com

This report describes a 4-year-old boy who presented with infective endocarditis involving the ascending aorta and the arch vessels, with supravalvular aortic stenosis as the underlying pathology. Operation was indicated because of the embolic potential of the vegetations inside the aorta. Retrograde cerebral perfusion was utilized in conjunction with hypothermic circulatory arrest, to flush particulate materials from the arch vessels during operation.






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