A Technical Modification for Establishing Selective Antegrade Cerebral Perfusion during Pulmonary Endarterectomy
نویسندگان
چکیده
Pulmonary endarterectomy (PEA) due to chronic thromboembolic pulmonary hypertension (CTEPH) is mainly performed in deep hypothermic circulatory arrest without additional cerebroprotective means. A 49-year-old man was treated by PEA for CTEPH by using selective antegrade cerebral perfusion by advancing the tip of the systemic perfusion cannula into the brachiocephalic trunk. The postoperative course was uneventful.
منابع مشابه
Pulmonary endarterectomy is possible and effective without the use of complete circulatory arrest--the UK experience in over 150 patients.
OBJECTIVE Pulmonary endarterectomy is the best treatment for patients with chronic thromboembolic pulmonary hypertension. Traditionally pulmonary endarterectomy has been performed utilising deep hypothermic circulatory arrest to provide a bloodless field, but some recent reports have challenged this concept. We reviewed our experience with selective antegrade cerebral perfusion as the initial s...
متن کاملSuccessful staged operation for acute aortic dissection and chronic thromboembolic pulmonary hypertension.
We describe surgical treatment for a patient with chronic thromboembolic pulmonary hypertension who developed acute type A aortic dissection. Acute aortic dissection is a life-threatening disease and must be operated emergently, and chronic thromboembolic pulmonary hypertension can be treated only by pulmonary endarterectomy. We performed a staged procedure consisting of hemiarch replacement wi...
متن کاملBest strategy for cerebral protection in arch surgery - antegrade selective cerebral perfusion and adequate hypothermia.
Aortic arch surgery remains a complex surgical operation that necessitates specific neuroprotection strategies. Various approaches, such as hypothermic circulatory arrest (HCA), retrograde cerebral perfusion, and antegrade selective cerebral perfusion (aSCP), have each enjoyed periods of popularity. However, while the overall surgical approach tend to favour HCA with aSCP, technical factors, su...
متن کاملSurgical techniques of total arch replacement using selective antegrade cerebral perfusion.
This detailed illustrated article describes our preferred surgical technique of total arch replacement using selective antegrade cerebral perfusion (SACP). Our current approach includes: (I) meticulous selection of arterial cannulation site and type of arterial cannula; (II) SACP for neuro-protection; (III) whole body hypothermia with minimal tympanic temperatures between 20 and 23 °C and minim...
متن کاملPii: S1010-7940(02)00059-3
Cerebral protection during hypothermic circulatory arrest was obtained by combining right carotid perfusion through the axillary artery with selective perfusion of the left common carotid artery in ten patients. We believe that the proposed technique offers several advantages. (1) The axillary artery is generally free from atherosclerosis. (2) It eliminates the risk of retrograde embolization. ...
متن کامل