Aortic arch surgery: beyond surgical technique alone

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Aortic arch surgery: beyond surgical technique alone.

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Aortic arch replacement with proximal first technique.

BACKGROUND Deep hypothermic circulatory arrest (DHCA) without retrograde cerebral perfusion (RCP) has a strict time limit. We modified a surgical technique for anastomosis to shorten the period of DHCA and unilateral cerebral perfusion (UCP). METHODS Between March 1993 and August 2001, retrospective analysis was done on 23 consecutive patients, who underwent aortic arch replacement with branc...

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Cerbral Protection Strategies for Aortic Arch Surgery

Surgical therapy for aortic arch disease involves partial or complete replacement of the aortic arch with reimplantation of the great vessels while the cerebral blood flow is temporarily altered. Patients undergoing this mandatory period of circulatory arrest during arch replacement are at an increased risk for adverse neurologic outcomes, and strategies for cerebral protection must be implemen...

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Cortical blindness following aortic arch surgery.

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ژورنال

عنوان ژورنال: European Journal of Cardio-Thoracic Surgery

سال: 2014

ISSN: 1873-734X,1010-7940

DOI: 10.1093/ejcts/ezu124