Hypothermic circulatory arrest is commonly used during aortic arch surgery. However, it is associated with high risk of visceral organ and lower limb ischemia. There may be advantages to reduction duration of hypothermic circulatory arrest to prevent ischemic complications. We present a case of partial aortic arch replacement without use of hypothermic circulatory arrest.
MisfeldMMohrFWEtzCD. Best strategy for cerebral protection in arch surgery - antegrade selective cerebral perfusion and adequate hypothermia. Ann Cardiothorac Surg2013; 2(3): 331–338. DOI: 10.3978/j.issn.2225-319X.2013.02.05.
2.
DetterCDemalTJBaxL, et al.Simplified frozen elephant trunk technique for combined open and endovascular treatment of extensive aortic diseases. Eur J Cardiothorac Surg2019; 56(4): 738–745. DOI: 10.1093/ejcts/ezz082.
3.
FernandesPWalshGWalshS, et al.Whole body perfusion for hybrid aortic arch repair: evolution of selective regional perfusion with a modified extracorporeal circuit. Perfusion2017; 32(3): 230–237. DOI: 10.1177/0267659116673444.
4.
TsagakisKOsswaldAWeymannA, et al.The frozen elephant trunk technique: impact of proximalization and the four-sites perfusion technique. Eur J Cardiothorac Surg2021; 61(1): 195–203. DOI: 10.1093/ejcts/ezab295.
YanSSunXGuoH, et al.Perfusion management of aortic balloon occlusion technique in total arch replacement with frozen elephant trunk. Perfusion2020; 35(4): 280–283. DOI: 10.1177/0267659119872350.
7.
CappabiancaGRoscitanoCBichiS, et al.Whole body perfusion in patients undergoing frozen elephant trunk for type A acute aortic dissections. Perfusion2017; 32(2): 164–167. DOI: 10.1177/0267659116669585.
8.
LiQQuHLiuT, et al.Total aortic arch replacement surgery with a core temperature of 34 °C. J Cardiothorac Surg2019; 14: 184. DOI: 10.1186/s13019-019-1001-0.