Medicine and HealthBrazilian Journal of Cardiovascular Surgery

Is Deep Hypothermic Cardiac Arrest Mandatory in Aortic Arch Surgeries?

J. Kothari, M. D. N. B. Ch, et al.

This case report highlights a groundbreaking approach to aortic arch dissection in a 16-year-old male, showcasing the dual cannulation strategy that eliminates the need for deep hypothermic circulatory arrest (DHCA). Achieved by a team of expert authors, this technique promises significant improvements in neurological protection and reduced operative risks.... show more

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Abstract

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.

Publisher

Brazilian Journal of Cardiovascular Surgery

Published On

Sep 14, 2020

Authors

Jignesh Kothari, M D N B Ch, Ishan Gohil, M Ch, Kinneresh Baria

DOI

https://doi.org/10.21470/1678-9741-2020-0465

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