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Ann Thorac Surg 2005;80:1159-1160
© 2005 The Society of Thoracic Surgeons

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Correspondence

Distal Aortic Perfusion during Aortic Arch Repair: Reply

Department of Thoracic and Cardiovascular Surgery, University of Florida, College of Medicine, Health Science Center, PO Box 100286, Gainesville, FL 32610

(Email: cklodell{at}ufl.edu).

To the Editor:

We thank Drs Takagi and Matsuno [1] for their interest in our recent article on distal aortic perfusion during aortic arch reconstruction [2]. We apologize for excluding their report of a similar technique from our review of the literature [3]. Our report describes our use of the aortic direct balloon occlusion cannula (ADIC 222 [US Surgical, Norwalk, CT]) for antegrade perfusion of the distal aorta during arch reconstruction. In our initial experience we choose 18°C for arch reconstruction regardless of the perfusion technique selected. Although "double antegrade cerebral perfusion" is the most common technique utilized, surgeon preference may allow the combination of retrograde cerebral perfusion with distal aortic perfusion in select cases. As experience in this area evolves, we agree that the use of distal aortic perfusion to the spinal cord, viscera, and lower extremities may obviate the need for deep hypothermia during aortic arch reconstruction.

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1. Takagi H, Matsuno Y. Distal aortic perfusion during aortic arch repair Ann Thorac Surg 2005;80:1159letter.[Free Full Text]
2. Klodell CT, Hess PJ, Beaver TM, Clark D, Martin TD. Distal aortic perfusion during aortic arch reconstructionanother tool for the aortic surgeon. Ann Thorac Surg 2004;78:2196-2198.[Abstract/Free Full Text]
3. Takagi H, Mori Y, Iwata H, Umeda Y, Matsuno Y, Hirose H. Aortic balloon occlusion catheter with perfusion lumen for protection of lower body during distal anastomosis in aortic arch repair J Thorac Cardiovasc Surg 2002;123:1006-1008.[Free Full Text]

This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Charles T. Klodell Permission Requests Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Klodell, C. T. Search for Related Content PubMed Articles by Klodell, C. T. Related Collections Great vessels Related Article