A reconsideration of cerebral perfusion in aortic arch replacement.

  title={A reconsideration of cerebral perfusion in aortic arch replacement.},
  author={William H Frist and J. C. Baldwin and Vaughn A. Starnes and Edward B. Stinson and Phillip E Oyer and D. C. Miller and Stuart W. Jamieson and Robert Scott Mitchell and Norman E. Shumway},
  journal={The Annals of thoracic surgery},
  volume={42 3},
Ten patients underwent aortic arch replacement for aneurysmal disease from 1970 to 1985 using a simplified cardiopulmonary bypass (CPB) technique with partial brachiocephalic perfusion, low CPB flow (30 to 50 ml/kg/min), moderate systemic cooling (26 degrees to 28 degrees C), and topical hypothermic myocardial protection. The arterial line from a single pump head has a Y shape to perfuse the femoral artery (20F cannula) and either the innominate or left carotid artery (14F). Of the 10 patients… CONTINUE READING
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