Double Arterial Cannulation in the Critical Management of Neonatal Aortic Arch Obstruction With Closed Ductus Arteriosus
| Autor: | Yuriy Y Kulyabin, Yuriy N. Gorbatykh, A.V. Zubritskiy, N. R. Nichay, Ilya Soynov, Alexander Bogachev-Prokophiev |
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| Rok vydání: | 2019 |
| Předmět: |
Male
Aortic arch medicine.medical_specialty Aorta Thoracic Arterial duct 030204 cardiovascular system & hematology Aortic Coarctation Arterial cannulation Catheterization 03 medical and health sciences 0302 clinical medicine medicine.artery Internal medicine Ductus arteriosus medicine Humans Abnormalities Multiple Postoperative Period Ductus Arteriosus Patent Surgical repair business.industry Interrupted aortic arch Infant Newborn General Medicine medicine.disease medicine.anatomical_structure 030228 respiratory system Pediatrics Perinatology and Child Health cardiovascular system Cardiology Female Surgery Tomography X-Ray Computed Cardiology and Cardiovascular Medicine business Vascular Surgical Procedures |
| Zdroj: | World Journal for Pediatric and Congenital Heart Surgery. 10:105-108 |
| ISSN: | 2150-136X 2150-1351 |
| DOI: | 10.1177/2150135118790944 |
| Popis: | The neonatal management of critical aortic arch obstruction in association with an arterial duct that remains closed or significantly constricted requires urgent surgical repair, with a postoperative focus on resolving the impaired function of compromised organs. Here, we present two neonatal cases illustrating the use of the dual arterial cannulation perfusion method in the complete repair of interrupted aortic arch and critical coarctation of the aorta with nonfunctional ductus arteriosus. We suggest that dual arterial cannulation, which provides total body perfusion (with the exception of cardiac perfusion during cardioplegic arrest of the heart), may be a good alternative to other perfusion strategies in cases of absent ductal blood flow, as this method allowed us to avoid the further development of severe multiple organ failure. |
| Databáze: | OpenAIRE |
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