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Ann Thorac Surg 2008;85:1781-1782. doi:10.1016/j.athoracsur.2007.11.003
© 2008 The Society of Thoracic Surgeons
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Case Reports

Total Arch Replacement Under Normothermic Beating Heart Surgery

Jui-Chih Chang, MD*, Shen-Feng Chao, MD*, Bee-Song Chang, MD

Division of Thoracic and Cardiovascular Surgery, Buddhist Tzu Chi General Hospital, Hualien, Taiwan

Accepted for publication November 2, 2007.

* Address correspondence to Dr Chao, Division of Thoracic and Cardiovascular Surgery, Buddhist Tzu Chi General Hospital, No. 707, Sec. 3, Chong Yang Rd, Hualian, Taiwan (Email: sfchao{at}tzuchi.com.tw).

The authors propose a new method for total arch replacement under normothermic beating heart surgery. The surgical procedure was performed with no time limit. The cardiopulmonary bypass was terminated without using inotropic agents. The patient regained consciousness in postoperative hour 8 without any neurologic deficit. This new strategy avoids the potential devastating side-effects associated with deep hypothermic circulatory arrest and myocardial stunning.






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