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Moderate Versus Deep Hypothermic Circulatory Arrest for Elective Aortic Transverse Hemiarch Reconstruction  Prashanth Vallabhajosyula, MD, MS, Arminder.

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Presentation on theme: "Moderate Versus Deep Hypothermic Circulatory Arrest for Elective Aortic Transverse Hemiarch Reconstruction  Prashanth Vallabhajosyula, MD, MS, Arminder."— Presentation transcript:

1 Moderate Versus Deep Hypothermic Circulatory Arrest for Elective Aortic Transverse Hemiarch Reconstruction  Prashanth Vallabhajosyula, MD, MS, Arminder S. Jassar, MD, Rohan S. Menon, BS, Caroline Komlo, BS, Jacob Gutsche, MD, Nimesh D. Desai, MD, PhD, W. Clark Hargrove, MD, Joseph E. Bavaria, MD, Wilson Y. Szeto, MD  The Annals of Thoracic Surgery  Volume 99, Issue 5, Pages (May 2015) DOI: /j.athoracsur Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Direct innominate artery cannulation strategy during circulatory arrest is shown. With minimal dissection on cardiopulmonary bypass, the innominate artery is proximally snared. (A) A 9F cannula is then directly inserted into the innominate artery and connected to the cardioplegia circuit. (B) Circulatory arrest is initiated, and a soft bulldog clamp is placed proximally on the innominate artery to initiate antegrade cerebral profusion at 10 to 12 mL/kg/min. Once the distal hemiarch reconstruction is completed, the aortic graft is recannulated to initiate cardiopulmonary bypass and the innominate artery clamp is removed. The 9F cannula is then removed from the innominate artery and the site is oversewn. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

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