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Ann Thorac Surg 2008;85:347-348. doi:10.1016/j.athoracsur.2007.06.046
© 2008 The Society of Thoracic Surgeons
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How To Do It

Novel Technique for Aortic Arch Surgery Under Mild Hypothermia

Aristotelis Panos, MD, FEBTCS*, Patrick-Olivier Myers, MD, Afkskendiyos Kalangos, MD, PhD

Clinic for Cardiovascular Surgery, University Hospital of Geneva, Geneva, Switzerland

Accepted for publication June 15, 2007.

* Address correspondence to Dr Panos, Clinic for Cardiac Surgery, University Hospital of Geneva, 24, Rue Micheli-du-Crest, Geneva, 14 1211, Switzerland (Email: a.panos{at}bluewin.ch).

We present our initial experience in 5 patients for open aortic arch repair with continuous antegrade perfusion of the brain and of the lower body by means of direct cannulation of the right axillary artery and of the descending aorta with a venous cannula (DLP 91037 cannula [Medtronic Inc, Minneapolis, MN]) for systemic perfusion under mild hypothermia (30°C). This mode of perfusion allows safe open repair of the aortic arch, short aortic cross clamping, and CPB times associated to all the known advantages of the mild hypothermia; this technique could have the potential to be generally applicable in surgeries for aortic arch repairs after further evaluation.




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