Introduction. There continue to be some controversies concerning aortic arch reconstruction,
especially the cerebral protection methods. We report our operative and postoperative …

Background Aortic arch replacement remains a surgical challenge because of prolonged
operative times, bleeding complications, and a considerable risk of neurologic morbidity and …

Background: Aortic arch replacement using standard techniques, including deep
hypothermic circulatory arrest and selective antegrade cerebral perfusion, is still associated …

We present our initial experience in 5 patients for open aortic arch repair with continuous
antegrade perfusion of the brain and of the lower body by means of direct cannulation of the …

A primary goal in aortic arch surgery is to preserve cerebral function. However, brain tissue
has a very high metabolic rate and is especially sensitive to ischemia. Two options to …

BACKGROUND: Deep hypothermia with circulatory arrest (CA) is routinely used for aortic
arch repair. Antegrade selective cerebral perfusion (ASCP) has been proposed to avoid …

Objectives Aortic arch replacement is associated with increased mortality and morbidity
especially in acute type-A aortic dissection. Although hypothermic circulatory arrest with …

Background: Deep hypothermic circulatory arrest (DHCA) without retrograde cerebral
perfusion (RCP) has a strict time limit. We modified a surgical technique for anastomosis to …

BACKGROUND: The temperature at circulatory arrest during open distal anastomosis is the
most significant issue for aortic arch repair. In many institutions, there has been trend toward …

The technical aspects of arch surgery have evolved considerably during the last 2 decades.
The use of deep hypothermic circulatory arrest has been embraced by many cardiac …