Intracardiac Epinephrine Injection during Open Thoracotomy and Circulatory Arrest

Deliberate circulatory arrest; the use of halothane and heparin for direct-vision intracardiac surgery.

new procedure being described which involves deliberately preventing blood from passing through the chambers and valves of the heart. In some of these operations, when considerable time is required for their completion, a partial solution has been found in the employment of by-pass techniques. These methods demand extensive vascular surgery to connect the apparatus to the patient, and large vol...

Thromboendarterectomy and circulatory arrest.

Thromboendarterectomy remains a high-risk procedure. The use of circulatory arrest as a technique to allow pulmonary artery visualization is associated with cerebral and organ damage secondary to the ischaemic insult. Application of techniques learned from thoracic aortic stenting and minimal invasive valvular surgery may mean that circulatory arrest becomes an uncommon accompaniment to thrombo...

Circulatory Arrest, Brain Arrest and Death Determination

Technological advances, particularly in the capacity to support, replace or transplant failing organs, continue to challenge and refine our understanding of human death. Given the ability to reanimate organs before and after death, both inside and outside of the body, through reinstitution of oxygenated circulation, concepts related to death of organs (e.g. cardiac death) are no longer valid. T...

Hypothermic circulatory arrest through a left thoracotomy in a 12-year-old child with aortic coarctation.

Surgical correction of adult complex aortic coarctation using hypothermic circulatory arrest often requires central cannulation to secure cerebral perfusion. It is not easy to place the cannula in the ascending aorta, however, especially in children undergoing surgery through a left thoracotomy. In a 12-year-old male with hypoplastic distal aortic arch, we placed an arterial cannula in the asce...

Pulmonary circulatory arrest.