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Ann Thorac Surg 2000;69:1940-1941
© 2000 The Society of Thoracic Surgeons

Case reports

Acute type A aortic dissection: retrograde perfusion with left superior vena cava

Charles R. Bridges, MD, ScDa, Robert C. Gorman, MDa, Mark M. Stecker, MD, PhDa, Joseph E. Bavaria, MDa

a Division of Cardiothoracic Surgery, Department of Neurology, University of Pennsylvania Medical Center, Philadelphia, Pennsylvania, USA

Address reprint requests to Dr Bridges, Department of Surgery, University of Pennsylvania Medical Center, 4 Silverstein, 3400 Spruce St, Philadelphia, PA 19104
e-mail: cbridges{at}mail.med.upenn.edu

Retrograde cerebral perfusion with hypothermic circulatory arrest confers additional cerebral protection during repair of type A aortic dissection. We present a 42-year-old man with acute type A aortic dissection and a persistent, left superior vena cava. Cannulation of the right and left superior vena cava is used for retrograde perfusion of both hemispheres with bilateral monitoring of electroencephalogram and somatosensory-evoked potentials during and after the hypothermic circulatory arrest interval.




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Ann. Thorac. Surg., June 1, 2002; 73(6): 2038 - 2038.
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