TY - ADVS
T1 - Beating heart arch replacement without circulatory arrest
T2 - a standardized surgical strategy
AU - Romeo, Jamie
AU - Lotfalla, Anne Simone
AU - Körver, Erik P.J.
AU - Natour, Ehsan
AU - Maessen, Jos
AU - Lorusso, Roberto
AU - Jacobs, Michael
AU - Bidar, Elham
N1 - Publisher Copyright:
© The Author 2025. Published by MMCTS on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.
PY - 2025/2/17
Y1 - 2025/2/17
N2 - Deep hypothermic circulatory arrest, antegrade brain perfusion and cardioplegic arrest are commonly used organ protection techniques during aortic arch surgery. We present our surgical strategy for beating heart aortic arch surgery without circulatory arrest. Cardiopulmonary bypass access is achieved through the right and/or left axillary artery for continuous cerebral perfusion under neurophysiological monitoring and femoral cannulation through an EndoReturn cannula while using a Coda balloon catheter for visceral perfusion. Systemic cooling is applied between 28 and 32 °C.
AB - Deep hypothermic circulatory arrest, antegrade brain perfusion and cardioplegic arrest are commonly used organ protection techniques during aortic arch surgery. We present our surgical strategy for beating heart aortic arch surgery without circulatory arrest. Cardiopulmonary bypass access is achieved through the right and/or left axillary artery for continuous cerebral perfusion under neurophysiological monitoring and femoral cannulation through an EndoReturn cannula while using a Coda balloon catheter for visceral perfusion. Systemic cooling is applied between 28 and 32 °C.
KW - Aortic arch reconstruction
KW - Beating-heart surgery
U2 - 10.1510/mmcts.2025.005
DO - 10.1510/mmcts.2025.005
M3 - Digital or Visual Products
VL - 2025
ER -