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Ann Thorac Surg 2003;76:2115-2117
© 2003 The Society of Thoracic Surgeons

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How to do it

Totally normothermic aortic arch replacement without circulatory arrest

^a Departments of Department ofCardiovascular SurgeryAmiens, France
^b Department ofAnesthesiology, Centre Hospitalier et Universitaire d’Amiens, Amiens, France

Accepted for publication April 23, 2003.

^* Address reprint requests to Dr Touati, Department of Cardiovascular Surgery, Centre Hospitalier et Universitaire d’Amiens, Hôpital Sud 80054, Amiens Cedex 01, France
e-mail: gtouati.hms{at}invivo.edu

The authors propose a new strategy of normothermic perfusion for replacement of the aortic arch to avoid the complications of profound hypothermic circulatory arrest. Six patients underwent complete replacement of the aortic arch under normothermia using two pumps for the body (one for the brain and the thoracoabdominal aortic branches) and one for the heart. The surgical procedure was performed with no time limit. There were no operative or late deaths. No patients had neurologic deficit and all were rapidly extubated with uneventful postoperative courses. The method preserves autoregulation of cerebral blood flow and maintains body perfusion without high vascular resistances.

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