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- K Yasuura, Y Ogawa, H Okamoto, T Asakura, M Hoshino, M Sawazaki, A Matsuura, T Maseki, and T Abe.
- Department of Thoracic Surgery, Nagoya University School of Medicine, Japan.
- Ann. Thorac. Surg. 1992 Apr 1; 53 (4): 655-8.
AbstractThe use of profound hypothermia and total circulatory arrest in the surgical treatment of aortic dissection has previously been reported. However, the safe period of prolonged circulatory arrest with hypothermia remains controversial. We have developed a technique of hypothermic total body retrograde perfusion to achieve systemic organ protection: cerebral protection by continuous retrograde perfusion through the superior vena cava, myocardial protection by coronary sinus infusion, and abdominal visceral organ perfusion by continuous retrograde perfusion through the inferior vena cava. Our technique yields a relatively bloodless operating field and avoids hypoperfusion of vital organs through a false lumen.
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