Total arch replacement using aortic arch branched grafts with the aid of antegrade selective cerebral perfusion

Dr. Sun's Procedure for Type A Aortic Dissection: Total Arch Replacement Using Tetrafurcate Graft With Stented Elephant Trunk Implantation

“…In 1983, Borst introduced the elephant trunk procedure [3], followed by a variety of modifications [4][5][6], with improved clinical outcomes over the years [7][8][9]. Recently, endovascular placement of stent grafts and hybrid repair have also emerged as new treatment options [10,11].…”

Successful Repair of a Syphilitic Aortic Arch Aneurysm Accompanied by Serious Cerebral Infarction

“…However, Kazui reported that an old cerebral infarction is a significant risk factor for neurological dysfunction, even with SCP and deep hypothermia. 9) However, deep hypothermia is still a gold-standard technique for vital organ protection including the brain. 10) Simple deep or profound circulatory arrest is still used widely as a reliable technique for aortic arch surgery.…”

Anesthetic Management of a Patients With Acute Type A Aortic Dissection Immediately After Caesarean Section

“…Beyin iskemisini azaltmak ve hasarı önlemek için retrograd ve antegrad serebral perfüzyon, derin hipotermik sirkülatuar arest, farmakolojik beyin korunması ile ilgili önlemler alınmalıdır (15) . Aksiller arter kanülasyonu yoluyla antegrad serebral perfüzyo-nun, serebral korumada güvenilir ve etkili bir yöntem olduğu kanıtlanmış ve bu yöntem gün geçtikçe daha geniş alanlarda endikasyon bulmaya başlamıştır (16) . Hastamıza cerrahi teknik olarak antegrad serebral perfüzyon ile birlikte orta dereceli hipotermi (25-28ºC) ve farmakolojik beyin korunması yöntemlerini uyguladık.…”