An alternative technique for hemiarch replacement without using deep hypothermic circulatory arrest

• Published in: Seminars in thoracic and cardiovascular surgery Vol. 29; no. 1; pp. 47 - 48
• Main Authors: Scott Halbreiner, Michael, MD, Yamashita, Michael, MD, Plichta, Ryan, MD, Svensson, Lars G., MD
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 2017
• Subjects: aorta; Aorta, Thoracic - physiopathology; Aorta, Thoracic - surgery; Aortic Aneurysm, Thoracic - physiopathology; Aortic Aneurysm, Thoracic - surgery; arch; Axillary Artery - physiopathology; Axillary Artery - surgery; Blood Vessel Prosthesis Implantation - adverse effects; Blood Vessel Prosthesis Implantation - methods; Brachiocephalic Trunk - physiopathology; Brachiocephalic Trunk - surgery; Cardiopulmonary Bypass; Cardiothoracic Surgery; circulatory arrest; Circulatory Arrest, Deep Hypothermia Induced; Constriction; hemiarch; Humans; Regional Blood Flow; Treatment Outcome; circulatory arrest; aorta; hemiarch; arch
• ISSN: 1043-0679; 1532-9488
• DOI: 10.1053/j.semtcvs.2017.01.004

We describe an alternate technique to perform a replacement of the aortic hemiarch without the need for hypothermic circulatory arrest via axillary cannulation and arch vessel isolation. In 2015, 3 patients underwent hemiarch reconstructions for ascending aortic aneurysms that extended into the arch. Each was performed using right axillary cannulation, isolation and clamping of the innominate artery with isolation and tangential clamping of the aorta distal to the innominate. There were no neurologic events and no perioperative morbidity or mortality.