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Ann Thorac Surg 2004;78:2196-2198
© 2004 The Society of Thoracic Surgeons

How to do it

Distal Aortic Perfusion During Aortic Arch Reconstruction: Another Tool for the Aortic Surgeon

Charles T. Klodell, MDa,*, Philip J. Hess, MDa, Thomas M. Beaver, MDa, Dale Clark, CCPa, Tomas D. Martin, MDa

a Division of Cardiothoracic Surgery, University of Florida College of Medicine Health Science Center, Gainesville, Florida, USA

Accepted for publication October 16, 2003.

* Address reprint requests to Dr Klodell, University of Florida, PO Box 100286, Gainesville, FL 32610-0286, USA
cklodell{at}ufl.edu

Complex aortic arch reconstruction remains one of the greatest challenges facing cardiothoracic surgeons today. Deep hypothermic circulatory arrest is the most common technique for open arch replacement. Either antegrade or retrograde cerebral perfusion is often utilized in an attempt to decrease neurologic complications. In addition to cerebral perfusion, we have employed continuous perfusion of the thoracic aorta to minimize spinal cord, visceral, and lower extremity ischemia. This approach does not significantly increase the complexity of the operative procedure while reducing the ischemic time of critical areas, which may lead to improved patient outcomes.




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