HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Toshihide Asou Kuniyoshi Ohara Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Takeda, Y. Articles by Okamoto, H. Search for Related Content PubMed PubMed Citation Articles by Takeda, Y. Articles by Okamoto, H. Related Collections Congenital - acyanotic

Arch Reconstruction without Circulatory Arrest in Neonates

Department of Thoracic and Cardiovascular Surgery
¹ Department of Anesthesiology, Kitasato University, School of Medicine, Kanagawa, Japan

For reprint information contact: Toshihide Asou, MD Tel: 81 45 711 2351 Fax: 81 45 742 7821 Email: surgeon{at}pf7.so-net.ne.jp, Department of Cardiovascular Surgery, Kanagawa Children’s Medical Center, Mutsukawa 2-138-4, Minami-ku, Yokohama, Kanagawa 232-8555, Japan.

Between May 2000 and December 2002, 10 neonates underwent arch reconstruction without circulatory arrest. Age at surgery ranged from 1 to 18 days, and body weight ranged from 1.62 to 3.38 kg. The diagnosis was interrupted aortic arch in 4, hypoplastic left heart syndrome in 3, and coarctation complex in 3. A 3 mm polytetrafluoroethylene graft was anastomosed to the innominate artery, and the brain was perfused via this graft while the aortic arch was reconstructed. Regional cerebral oxygen saturation and the right and left radial artery pressures were monitored. There were 2 deaths: one because of low cardiac output syndrome after a Norwood operation; another from multiple organ failure due to preoperatively undetected congenital biliary atresia. Regional cerebral oxygen saturation was kept constant at over 40% during regional cerebral perfusion. There were no neurologic sequelae observed postoperatively. It was concluded that the regional cerebral perfusion technique can be safely applied during neonatal aortic arch reconstruction, and deep hypothermic circulatory arrest should be avoided.

This article has been cited by other articles:

				A. F Corno and M. Pozzi Safe Innominate Artery Cannulation for Cardiopulmonary Bypass in Neonates Asian Cardiovasc Thorac Ann, December 1, 2007; 15(6): 528 - 530. [Abstract] [Full Text] [PDF]