Abstract Background Selective antegrade cerebral perfusion, via unilateral antegrade cerebral perfusion (uACP) or bilateral antegrade cerebral perfusion (bACP) approaches, is used in aortic arch surgery to protect the brain during..
Read MoreAbstract OBJECTIVES The optimal flow rate for selective antegrade cerebral perfusion during aortic arch surgery is unknown. While 10–15 ml/kg/min is generally recommended, our centre has adopted a line pressure-targeted, relatively..
Read MoreAbstract OBJECTIVES This study investigates the impact of bilateral antegrade cerebral perfusion (ACP) time on outcomes in aortic arch surgery. METHODS In total, 961 patients underwent either hemiarch (n = 385) or..
Read MoreAbstract Background This study examined the association between cardiopulmonary bypass (CPB) hematocrit and postoperative acute renal failure (ARF) in patients undergoing aortic arch surgery with hypothermic circulatory arrest. Methods The..
Read MoreAbstract Shifts from deep to moderate hypothermic circulatory arrest (HCA) in aortic arch surgery necessitate an examination of their differential impacts on neurocognitive functions, especially structured verbal memory, given its..
Read MoreAbstract We read with great interest the case presentation by Kaskar et al in the current issue of the World Journal for Pediatric and Congenital Heart Surgery. The authors describe two cases..
Read MoreAbstract Objective We designed a simplified total arch reconstruction (s-TAR) technique which could be performed under mild hypothermia (30–32 °C) with distal aortic perfusion. This study aimed to compare its efficacy..
Read MoreAbstract Background Impairment of cerebral autoregulation (CA) has been observed in patients undergoing cardiopulmonary bypass (CPB), but little is known about its risks and associations with outcomes. The cerebral oximetry..
Read MoreAbstract Objectives Acknowledging lacking of consensus exist in total aortic arch (TAA) surgery for acute type A aortic dissection (AAD), this study aimed to investigate the neurologic injury rate between..
Read MoreAbstract Objective: To evaluate the ability of intraoperative neurophysiologic monitoring (IONM) during aortic arch reconstruction with hypothermic circulatory arrest (HCA) to predict early (<48 hours) adverse neurologic events (ANE; stroke or..
Read MorePatient with acute type A aortic dissection and intimal flap rising undergone ascending aorta replacement and all arch branches replacement with trifurcated tubular graft and descending thoracic aorta with deployment..
Read MoreAbstract Our current approach towards total arch replacement includes the following: (1) innominate vein mobilization, (2) no neck vessel taping, and no dissection of the vagal nerve, (3) meticulous selection..
Read MoreAbstract Objective Currently, there is no risk scores built to predict risk in thoracic aortic surgery. This study aims to develop and internally validate a risk prediction score for patients..
Read MoreAbstract Anterograde or retrograde cerebral perfusion can protect the brain from ischemic injury during hypothermic circulatory arrest (HCA), but neither type of perfusion provides blood flow to the abdominal viscera...
Read MorePatient with ascending aorta and arch dissection undergone direct arch cannulation and total circulation arrest with valve preservation ascending aorta replacement and innominate artery reimplantation. [playlist ids="29322"] Dr.Sam Zeraatian..
Read MoreAortic arch traumatic dissection isolated in patient with MVA undergone arch exposure and proximal to distal bypass with tube graft with very little amount time of TCA and continuous antegrade..
Read MoreAortic arch dissection with supracoronay tubular graft replacement and coronary bottom realignment step by step technique Dr.Sam Zeraatian Nejad Davani Attending professor of IUMS and Dean of transplantation Faculty Drius..
Read MoreAbstract Background Cerebral protection during can be performed using various surgical strategies. We retrospectively analyzed our results of different brain protection modalities during aortic arch surgery. Methods Between January 2003 and..
Read MoreAbstract Objective: Optimal selective cerebral perfusion (SCP) management for neonatal aortic arch surgery has not been extensively studied. We induced mild hypothermia during SCP and used the tissue oxygenation monitor..
Read MoreLearn with us. Publish with us. The Multimedia Manual of Cardio-Thoracic Surgery (MMCTS) is an online-only teaching manual published by The European Association for Cardio-Thoracic Surgery (EACTS). It is PubMed-indexed,..
Read MoreAbstract Introduction: Neurologic complications of open thoracic aortic surgery are devastating problems in patients with severely diseased aortas. This study aimed to clarify whether directing the aortic cannula tip toward..
Read MoreAbstract Background Moderate (MHCA) versus deep (DHCA) hypothermia for circulatory arrest in has been purported to reduce and bleeding complications, although there are limited data supporting this claim. This study aimed to..
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