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Ann Thorac Surg 2006;82:80
© 2006 The Society of Thoracic Surgeons

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Original article: Cardiovascular

Invited commentary

Marfan and Connective Tissue Disorder Clinic, The Cleveland Clinic Foundation, 9500 Euclid Ave, F25, Cleveland, OH 44195

(Email: svenssl@ccf.org).

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

In performing open aortic arch repairs, there are two main issues to consider: (1) the site of cannulation for hypothermic arrest, and (2) whether the antegrade brain perfusion will be adequate for neurologic safety if the arrest is not performed at deep hypothermic arrest (<20°C). If deep hypothermic arrest is planned, we have shown that the use of the right subclavian artery with a side graft reduces the risk of stroke by 40%. Furthermore, if antegrade brain perfusion is added to this through the inflow arterial line with . . . [Full Text of this Article]