Total body retrograde perfusion during operations on the descending thoracic aorta Kenzo Yasuura, MD, Yasushi Takagi, MD, Yasutoshi Oohara, MD, Yoshiyuki.

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Presentation transcript:

Total body retrograde perfusion during operations on the descending thoracic aorta Kenzo Yasuura, MD, Yasushi Takagi, MD, Yasutoshi Oohara, MD, Yoshiyuki Takami, MD The Journal of Thoracic and Cardiovascular Surgery Volume 118, Issue 3, Pages 559-561 (September 1999) DOI: 10.1016/S0022-5223(99)70202-3 Copyright © 1999 Mosby, Inc. Terms and Conditions

Fig. 1 Schema of CPB circuit for operations for thoracic aortic disease. The Journal of Thoracic and Cardiovascular Surgery 1999 118, 559-561DOI: (10.1016/S0022-5223(99)70202-3) Copyright © 1999 Mosby, Inc. Terms and Conditions

Fig. 2 Preoperative magnetic resonance scan showing double lumen of thoracic aorta and intraluminal thrombus in a patient with chronic Stanford type B dissection. Clamping of the aorta and femoral arterial perfusion should be avoided in such a case. The Journal of Thoracic and Cardiovascular Surgery 1999 118, 559-561DOI: (10.1016/S0022-5223(99)70202-3) Copyright © 1999 Mosby, Inc. Terms and Conditions

Fig. 3 Schema of systemic retrograde perfusion technique. As the inferior vena cava is the lowest in position when the patient’s chest is placed in the right lateral decubitus position in the Trendelenburg position, cold oxygenated blood through the cannula in the inferior vena cava is perfused not only to the lower part of the body, but also to the brain. A, Schematic transverse section of heart. B, Positions of the cardiac chambers, aorta, and vena caval system in the chest. Black arrows, Oxygenated blood; white arrows, returned blood. Ao, Aorta; PA, pulmonary artery; RA, right atrium; RV, right ventricle; SVC, superior vena cava; IVC, inferior vena cava; CS, coronary sinus; LA, left atrium; LV, left ventricle. The Journal of Thoracic and Cardiovascular Surgery 1999 118, 559-561DOI: (10.1016/S0022-5223(99)70202-3) Copyright © 1999 Mosby, Inc. Terms and Conditions