We describe a simplified 3-way perfusion strategy that could be used in complex aortic procedures, which ensures continuous end-organ perfusion and minimizes the potential risks of cardiac, cerebral and peripheral ischaemic complications.
BorstHGSchaudigARudolphW. Arteriovenous fistula of the aortic arch: repair during deep hypothermia and circulatory arrest. J Thorac Cardiovasc Surg1964; 48: 443–447.
2.
GrieppRBStinsonEBHollingsworthJFBuehlerD. Prosthetic replacement of the aortic arch. J Thorac Cardiovasc Surg1975; 70: 1051–1063.
3.
SvenssonLGCrawfordESHessKR. Deep hypothermia with circulatory arrest. Determinants of stroke and early mortality in 656 patients. J Thorac Cardiovasc Surg1993; 106:19–28; discussion 28–31.
4.
BachetJGuilmetDGoudotB. Antegrade cerebral perfusion with cold blood: a 13-year experience. Ann Thorac Surg1999; 67:1874–1878; discussion 1891–1894.
5.
GuilmetDRouxPMBachetJGoudotBTawilNDiazF. A new technic of cerebral protection. Surgery of the aortic arch. Presse Med1986; 15: 1096–1098.
6.
KamiyaHHaglCKropivnitskayaI. The safety of moderate hypothermic lower body circulatory arrest with selective cerebral perfusion: a propensity score analysis. J Thorac Cardiovasc Surg2007; 133: 501–509.
