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Ann Thorac Surg 2001;71:362-364
© 2001 The Society of Thoracic Surgeons

Case report

Simplified retrograde systemic perfusion for removal of air from the aorta in an infant

Si Chan Sung, MDa, Hee Jae Jun, MDa, Jong Soo Woo, MDa

a Department of Thoracic and Cardiovascular Surgery, Dong-A University Hospital, Pusan, South Korea

Accepted for publication March 22, 2000.

Address reprint requests to Dr Sung, Department of Thoracic and Cardiovascular Surgery, Dong-A University Hospital, 3-1, Dongdaeshin-Dong, Seo-Gu, Pusan 602-715, Korea
e-mail: scsung{at}mail.donga.ac.kr

Total circulatory arrest with full venous drainage can result in air entering the arterial system through several possible sites such as the aortic cannulation site or collateral vessels. Air present in the arterial system during total circulatory arrest imposes a special problem. We describe a simple technique of short-term retrograde systemic perfusion to remove air from the arterial system before restarting systemic arterial perfusion after total circulatory arrest.






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