Is Deep Hypothermic Cardiac Arrest Mandatory in Aortic Arch Surgeries?

Autor:	Kothari J; Department of Cardiovascular and Thoracic Surgery, U. N. Mehta Institute of Cardiology and Research Centre, Affiliated B.J. Medical College, New Civil Hospital Campus, Asarwa, Ahmedabad, Gujarat, India., Gohil I; Department of Cardiovascular and Thoracic Surgery, U. N. Mehta Institute of Cardiology and Research Centre, Affiliated B.J. Medical College, New Civil Hospital Campus, Asarwa, Ahmedabad, Gujarat, India., Baria K; Department of Cardiovascular and Thoracic Surgery, U. N. Mehta Institute of Cardiology and Research Centre, Affiliated B.J. Medical College, New Civil Hospital Campus, Asarwa, Ahmedabad, Gujarat, India.
Jazyk:	angličtina
Zdroj:	Brazilian journal of cardiovascular surgery [Braz J Cardiovasc Surg] 2024 Feb 05; Vol. 39 (1), pp. e20200465. Date of Electronic Publication: 2024 Feb 05.
DOI:	10.21470/1678-9741-2020-0465
Abstrakt:	Cannulation strategies in aortic arch surgeries are a matter of immense discussion. Majority of time deep hypothermic circulatory arrest (DHCA) is the way out, but it does come with its set of demerits. Here we demonstrate a case with aortic arch dissection dealt with dual cannulation strategy in axillary and femoral artery without need for DHCA and ensuring complete neuroprotection of brain and spinal cord without hinderance of time factor. Inception of new ideas like this may decrease the need for DHCA and hence its drawbacks, thus decreasing the morbidity and mortality associated.
Databáze:	MEDLINE
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