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Ann Thorac Surg 1996;62:103-104
© 1996 The Society of Thoracic Surgeons

Invited Commentary

Invited commentary

Randall B. Griepp, MD

Department of Cardiothoracic Surgery, Mount Sinai Medical Center, One Gustave Levy Place, New York, NY 10029.

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

See also page 94.

In this article, Usui and colleagues have reviewed a large series of patients undergoing aortic arch operations with retrograde cerebral perfusion (RCP) at a number of different institutions in Japan. As pointed out by Usui and colleagues themselves, their results do not show any improvement in overall mortality or in neurologic morbidity when compared with several series of patients undergoing aortic arch operations with hypothermic circulatory arrest without retrograde perfusion. Usui and colleagues believe that the future of RCP is nevertheless bright. Because a number of surgeons have adopted this technique for more-or-less routine clinical use, some observations regarding the patients who fared especially poorly with RCP in this series deserve comment.

Usui and colleagues cite their experimental studies, which suggest that retrograde perfusion can provide as much as half the nutritive flow . . . [Full Text of this Article]


Related Article

Early Clinical Results of Retrograde Cerebral Perfusion for Aortic Arch Operations in Japan
Akihiko Usui, Toshio Abe, and Mitsuya Murase
Ann. Thorac. Surg. 1996 62: 94-104. [Abstract] [Full Text]





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