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Is Deep Hypothermic Cardiac Arrest Mandatory in Aortic Arch Surgeries?

Medicine and Health

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
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
Tags
aortic arch surgery
dual cannulation
deep hypothermic circulatory arrest
neuroprotection
aortic arch dissection
surgical strategy
pediatric cardiovascular surgery

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