Isolated myocardial perfusion during arch repair

Shunji Sano, Roger B.B. Mee

Research output: Contribution to journalArticlepeer-review

29 Citations (Scopus)

Abstract

Repair of coarctation of the aorta with severe hypoplasia of the aortic arch or interrupted aortic arch was performed in 5 patients using a modification of the usual technique that consisted of isolated myocardial perfusion during arch repair. The aortic cross-clamp was placed on the ascending aorta distal to the aortic cannula. Cardiopulmonary bypass flow was reduced to about 10% of full flow, achieving a line pressure of 35 to 45 mm Hg to keep the heart perfused and beating during arch repair. Once the aortic arch was repaired, total body perfusion was continued as usual and intracardiac repair was performed. Isolated myocardial perfusion for aortic arch reconstruction reduces myocardial ischemic time.

Original languageEnglish
Pages (from-to)970-972
Number of pages3
JournalThe Annals of Thoracic Surgery
Volume49
Issue number6
DOIs
Publication statusPublished - Jun 1990

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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