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2021•JTCVS TechniquesOpen access

Commentary: Individualize the strategy of cerebral protection in aortic arch surgery

Bo Yang

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Abstract

Cerebral protection is a critical issue in aortic arch surgery, including emergent repair of acute type A aortic dissection (ATAAD) or elective repair of aortic arch aneurysm. Deep hypothermic circulatory arrest (DHCA) allowed us to start performing aortic arch surgery safely. Gradually, cerebral perfusion, including retrograde cerebral perfusion (RCP) and antegrade cerebral perfusion (ACP), was added to the strategy. ACP allowed surgeons to perform DHCA at a much higher body temperature (from 18°C to 28°C) with excellent outcomes.

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Cerebral protection is a critical issue in aortic arch surgery, including emergent repair of acute type A aortic dissection (ATAAD) or elective repair of aortic arch aneurysm. Deep hypothermic circulatory arrest (DHCA) allowed us to start performing aortic arch surgery safely. Gradually, cerebral perfusion, including retrograde cerebral perfusion (RCP) and antegrade cerebral perfusion (ACP), was added to the strategy. ACP allowed surgeons to perform DHCA at a much higher body temperature (from 18°C to 28°C) with excellent outcomes.

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Available abstract

Cerebral protection is a critical issue in aortic arch surgery, including emergent repair of acute type A aortic dissection (ATAAD) or elective repair of aortic arch aneurysm. Deep hypothermic circulatory arrest (DHCA) allowed us to start performing aortic arch surgery safely. Gradually, cerebral perfusion, including retrograde cerebral perfusion (RCP) and antegrade cerebral perfusion (ACP), was added to the strategy. ACP allowed surgeons to perform DHCA at a much higher body temperature (from 18°C to 28°C) with excellent outcomes.

Key concepts: Aortic arch, Medicine, Arch, Cardiology, Surgery, Aorta, Engineering, Civil engineering

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