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A surgical technique for ascending aorta, aortic arch and descending aorta replacement without cross-clamp, circulatory arrest or hypothermia

Published online by Cambridge University Press:  09 January 2020

Murat Ugurlucan*
Affiliation:
Department of Cardiovascular Surgery, Istanbul Medipol University Medical Faculty, Istanbul, Turkey
Yahya Yildiz
Affiliation:
Department of Anesthesiology, Istanbul Medipol University Medical Faculty, Istanbul, Turkey
Mustafa O. Ulukan
Affiliation:
Department of Cardiovascular Surgery, Istanbul Medipol University Medical Faculty, Istanbul, Turkey
Didem M. Oztas
Affiliation:
Department of Cardiovascular Surgery, Bagcilar Training and Research Hospital, Istanbul, Turkey
Metin O. Beyaz
Affiliation:
Department of Cardiovascular Surgery, Istanbul Medipol University Medical Faculty, Istanbul, Turkey
Emin Canata
Affiliation:
Department of Cardiovascular Surgery, Istanbul Medipol University Medical Faculty, Istanbul, Turkey
Senay Coban
Affiliation:
Department of Pediatric Cardiology, Istanbul Medipol University Medical Faculty, Istanbul, Turkey
Orcun Unal
Affiliation:
Department of Cardiovascular Surgery, Yedikule Chest Diseases and Chest Surgery Education and Research Hospital, Istanbul, Turkey
Korhan Erkanli
Affiliation:
Department of Cardiovascular Surgery, Istanbul Medipol University Medical Faculty, Istanbul, Turkey
Halil Turkoglu
Affiliation:
Department of Cardiovascular Surgery, Istanbul Medipol University Medical Faculty, Istanbul, Turkey
*
Author for correspondence: Dr M. Ugurlucan, Department of Cardiovascular Surgery, Medipol Mega Universite Hastanesi, Kalp ve Damar Cerrahisi Klinigi, TEM Avrupa Otoyolu Goztepe Cikisi, No:1, 34214 Bagcilar, Istanbul, Turkey. Tel: +90 530 825 11 22; Fax: +90 212 521 23 77; E-mail: muratugurlucan@yahoo.com

Abstract

Treatment of the aneurysms comprising the aortic arch is challenging. Surgical reconstruction usually requires aortic cross-clamping, cardiac arrest, and even deep hypothermia for a bloodless field. In this report, we present our surgical technique providing normothermic ascending aorta, aortic arch, and proximal descending aorta replacement with selective cannulation and perfusion of the whole body.

Type
Original Article
Copyright
© Cambridge University Press 2020

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References

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