Introduction A circuit was developed to allow for rapid reaction to the needs of perfusion during extracorporeal circulation (ECC) in surgery of the aortic arch and ascending aorta. Method From January 2008 through January 2010, a home-designed circuit was used on 30 patients with aortic dissection who underwent surgery to replace the ascending aorta and the aortic arch and, in some cases, the aortic valve and re-implant of the coronary arteries using Bentall’s technique.
Coady MA, Rizzo JA, Goldstein LJ, Elefteriades JANatural history, pathogenesis, and etiology of thoracic aortic aneurysms and dissections. Cardiol Clin1999; 17: 615-635.
2.
Erbel R., Alfonso F., Boileau C., et al: Task Force on Aortic Dissection, European Society of Cardiology. Diagnosis and management of aortic dissection. Eur Heart J2001; 22: 1642-1681.
3.
Fann JI, Sarris GE, Mitchell RS, et al. Treatment of patients with aortic dissection presenting with peripheral vascular complications. Ann Surg1990 Dec; 212(6): 705-713.
4.
Yagdi T., Atay Y., Engin C., et al. Impact of organ malperfusion on mortality and morbidity in acute type A aortic dissections. J Card Surg2006 Jul-Aug; 21(4): 363-369.
5.
Anagnostopoulus CE, PrabHakar MJ, Kittle CFAortic dissection and dissecting aneurysms . Am J Cardiol1972; 30: 263-273.
6.
Eagle KA, Burkmann D., Isselbacher E., et al. Predictive of mortality in patients with type A acute aortic dissection: results of the international registry of acute aortic dissection (IRAD)J Am Coll Cardiol2000; 35:223.
7.
Ergin MA, O’Connor J., Giunto R., Griepp RBExperience with profound hypothermia and circulatory arrest in the treatment of aneurysms of the aortic arch. Thorac Cardiovasc Surg1982; 94: 649-655.
8.
Pagano D., Boivin CM, Faroqui MH, Bonser RSRetrograde perfusion through the superior vena cava perfuses the brain in human beings. J Thorac Cardiovasc Surg1996 ; 111: 270-272.
9.
DeBakey ME, Crawford ES, Cooley DA, et al. Successful resection of fusiform aneurysm of the aortic arch with replacement homograft. Surg Gynecol Obstet1957; 105: 657.
10.
Ueda Y., Miki S.Kusuhara K., Okita Y., Tahata T., Yamanaka K.Surgical treatment of aneurysms or dissection involving the ascending aorta and aortic arch, utilizing circulatory arrest and retrograde cerebral perfusion . J Cardiovasc Surg1990; 31: 533-538.
11.
Kazui T., Washiyama N., Muhammad BAH, et al. Total arch replacement using aortic arch branched grafts with the aid of antegrade selective cerebral perfusion. Ann Thorac Surg2000; 70:3-8
12.
Kazui T., Inoue N., Yamada O., et al. Selective cerebral perfusion during operation for aneurysms of the aortic arch: a reassessment. Ann Thorac Surg1992; 53:109-14.
13.
Numata S., Thomson DS, Seah P., Singh T.Simplified cerebral protection using unilateral antegrade cerebral perfusion and moderate hypothermic circulatory arrest. Heart Lung Circ2009; Oct;18(5): 334-336. Epub 2009 Aug 13.
14.
Papantchev V., Hristov S., Todorova D., et al. Some variations of the circle of Willis, important for cerebral protection in aortic surgery-a study in Eastern Europeans . Eur J Cardiothorac Surg2007 Jun; 31(6): 982-9. Epub 2007 Apr 19.
