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Ann Thorac Surg 2001;71:2027-2030
© 2001 The Society of Thoracic Surgeons

Case report

Hypothermic arrest for descending aortic rupture in reoperative patients

Edward M. Nadolny, CCPa, Lars G. Svensson, MD, PhDa

a Center for Aortic Surgery, Department of Thoracic and Cardiovascular Surgery, Lahey Clinic, Burlington, Massachusetts, USA

Accepted for publication April 26, 2000.

Address reprint requests to Dr Svensson, Center for Aortic Surgery, Department of Thoracic and Cardiovascular Surgery, Lahey Clinic, 41 Mall Rd, Burlington, MA 01805
e-mail: lars.g.svensson{at}lahey.org

Establishing hypothermic bypass for repair of descending thoracic aortic rupture in reoperative patients presents unique challenges for the operative team. A higher risk of stroke, embolization, and malperfusion further increases overall morbidity and mortality. Traditional femoral arterial cannulation may not be the optimal route for bypass for these patients. We report two reoperative cases using the right subclavian artery for arterial inflow to avoid these problems.




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