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Ann Thorac Surg 2004;77:79-80
© 2004 The Society of Thoracic Surgeons

Original article: cardiovascular

Invited commentary

Scott A. LeMaire, MD

Division of Cardiothoracic Surgery, Baylor College of Medicine, The Methodist DeBakey Heart Center, 6560 Fannin Street, Suite 1100, Houston, TX 77030, USA

e-mail: slemaire@bcm.tmc.edu

The first 20% of the full text of this article appears below.

In terms of optimizing cerebral protection during aortic arch repair, the relative efficacy of the three primary perfusion techniques—hypothermic circulatory arrest (HCA) alone, antegrade cerebral perfusion (ACP), and retrograde cerebral perfusion (RCP)—remains controversial. The relative merits of these techniques are traditionally considered in terms of their direct impact during operation, including delivery of oxygen to the brain, maintenance of cerebral hypothermia, and prevention of cerebral emboli. In this paper, Neri and colleagues have explored a novel . . . [Full Text of this Article]




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