Is Deep Hypothermic Cardiac Arrest Mandatory in Aortic Arch Surgeries?

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 ax...

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Bibliographic Details
Published in:	Revista brasileira de cirurgia cardiovascular Vol. 39; no. 1; p. e20200465
Main Authors:	Kothari, Jignesh, Gohil, Ishan, Baria, Kinneresh
Format:	Journal Article
Language:	English
Published:	Brazil Sociedade Brasileira de Cirurgia Cardiovascular 01-01-2024
Subjects:	Aorta, Thoracic - surgery Aortic Diseases - surgery CARDIAC & CARDIOVASCULAR SYSTEMS Catheterization Circulatory Arrest, Deep Hypothermia Induced Heart Arrest - etiology Humans Retrospective Studies SURGERY Treatment Outcome Neuroprotection Deep Hypothermia Induced Circulatory Arrest Catheterization Thoracic Aorta Aortic Diseases Thoracic Aorta Dissection
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Summary:	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.
ISSN:	1678-9741 1678-9741
DOI:	10.21470/1678-9741-2020-0465