Outcomes of deep hypothermic circulatory arrest in pediatric cardiac surgery: A single center experience

Elassal, Ahmed Abdelrahman; Debis, Ragab S.; Faden, Mazen; Alqari, Ahmed H.; Abdulaziz, M. A.; Radi, Osman O. Al

doi:10.1016/j.jescts.2016.08.007

Cited by 2 publications

(3 citation statements)

References 8 publications

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“…Pediatric Population. Elassal and colleagues 52 concluded that straight DHCA was safe in 29 pediatric patients (mean age, 20.6 ± 8.2 mo) at a temperature of 18 °C and a median DHCA time of 20.03 min (range, 3-52 min). Other authors [53][54][55][56] reported similar outcomes at DHCA durations <60 min.…”

Section: Antegrade Versus Retrograde Perfusionmentioning

confidence: 99%

Varying Evidence on Deep Hypothermic Circulatory Arrest in Thoracic Aortic Aneurysm Surgery

Gupta¹,

Harky²,

Jahangeer³

et al. 2018

Texas Heart Institute Journal

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Cardiovascular surgeons have long debated the safe duration of deep hypothermic circulatory arrest during thoracic aortic aneurysm surgery. The rationale for using adjunctive cerebral perfusion (or not) is to achieve the best technical aortic repair with the lowest risk of morbidity and death. In this literature review, we highlight the debates surrounding these issues, evaluate the disparate findings on deep hypothermic circulatory arrest durations and temperatures, and consider the usefulness of adjunctive perfusion.

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Section: Antegrade Versus Retrograde Perfusionmentioning

confidence: 99%

Varying Evidence on Deep Hypothermic Circulatory Arrest in Thoracic Aortic Aneurysm Surgery

Gupta¹,

Harky²,

Jahangeer³

et al. 2018

Texas Heart Institute Journal

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“…The temperature variation after rewarming from DHCA is associated with survival and neurologic outcome. [3,4,10,12,13] The incidence of acute neurological complications after DHCA is on the order of 1-25%. The main complication of our patient was a postoperative bleeding.…”

Section: Discussionmentioning

confidence: 99%

“…This report aims at describing a practical conduct of the first case of DHCA that has been performed for surgical correction of TAPVC at the Pediatric Cardiac Surgery Center of the University Hospital of Fann in Senegal. [1][2][3][4]…”

Section: Introductionmentioning

confidence: 99%

First Case of Deep Hypothermic Circulatory Arrest in Senegal (West Africa): Congenital Heart Disease Management

Bata¹

2018

IJCTS

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Background: Deep hypothermic circulatory arrest (DHCA) is an extracorporeal circulation (EC) technique used to correct complex congenital cardiac lesions. This technique ensures excellent operating conditions while reducing consequences of organ ischaemia, particularly of the brain. Griepp was the first to demonstrate in 1975, that the technique offered a practical and safe approach for aortic arch surgery. Case Report: Authors aim at reporting the practical conduct of DHCA's first case performed in Dakar (Senegal) on a 30-month-old patient diagnosed with supracardiac total anomalous pulmonary venous connection (TAPVC). The cooling had started 8 minutes after CPB was initiated and continued while the surgeon dissected the pulmonary veins, the collector, and the innominate vein. After the establishment and the starting up of the cardiopulmonary bypass, circulatory arrest was performed at 18°C with 32 minutes of arrest time. The anastomosis between collector and posterior of the left atrium was achieved during a circulatory arrest. In the immediate postoperative period, patient showed episodes of hypothermia and biological bleeding. During her hospitalization, the patient developed a lung infection and PAH crisis, kept under control with antibiotic, diuretics, oxygen and sildenafil. Neurological, kidney, metabolic or ionic complications have not been observed. The patient stayed at the hospital for 32 days. Conclusion: DHCA technique is a common practice in developed countries. However, it can also be carried out in West Africa as evidenced by this clinical case. This prowess testifies a strengthening of our skills in EC technique; and also, the possibility of correcting complex congenital cardiac lesions.

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Outcomes of deep hypothermic circulatory arrest in pediatric cardiac surgery: A single center experience

Cited by 2 publications

References 8 publications

Varying Evidence on Deep Hypothermic Circulatory Arrest in Thoracic Aortic Aneurysm Surgery

Varying Evidence on Deep Hypothermic Circulatory Arrest in Thoracic Aortic Aneurysm Surgery

First Case of Deep Hypothermic Circulatory Arrest in Senegal (West Africa): Congenital Heart Disease Management

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