Aortic Arch Repair With Antegrade Selective Cerebral Perfusion Using Mild to Moderate Hypothermia of More Than 28°C Satoshi Numata, MD, PhD, Yasushi.

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Aortic Arch Repair With Antegrade Selective Cerebral Perfusion Using Mild to Moderate Hypothermia of More Than 28°C Satoshi Numata, MD, PhD, Yasushi Tsutsumi, MD, Osamu Monta, MD, Sachiko Yamazaki, MD, Hiroyuki Seo, MD, Ryo Sugita, MD, Shohei Yoshida, MD, Hirokazu Ohashi, MD, PhD The Annals of Thoracic Surgery Volume 94, Issue 1, Pages 90-96 (July 2012) DOI: 10.1016/j.athoracsur.2012.03.055 Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Under hypothermic circulatory arrest, balloon-tipped catheters were inserted into neck vessels and antegrade selective cerebral perfusion was established. The Annals of Thoracic Surgery 2012 94, 90-96DOI: (10.1016/j.athoracsur.2012.03.055) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 After completion of an open distal anastomosis, systemic circulation was restarted through the side branch of the graft. The Annals of Thoracic Surgery 2012 94, 90-96DOI: (10.1016/j.athoracsur.2012.03.055) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Total aortic arch was replaced. The Annals of Thoracic Surgery 2012 94, 90-96DOI: (10.1016/j.athoracsur.2012.03.055) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Kaplan-Meier curve shows there was no significant difference in survival between group A (patterned line) and group B (black line). The Annals of Thoracic Surgery 2012 94, 90-96DOI: (10.1016/j.athoracsur.2012.03.055) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 5 Scatter plots show the relation between the day 3 postoperative creatinine level and (A) circulatory arrest time, (B) selective cerebral perfusion time, (C) extracorporeal circulation time, and (D) temperature at circulatory arrest. No significant relationship was found between the creatinine level and operative variables. The Annals of Thoracic Surgery 2012 94, 90-96DOI: (10.1016/j.athoracsur.2012.03.055) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions