The cardiopulmonary bypass management of aortic arch surgery / 中国基层医药

ABSTRACT

Objective To review and sum up cardiopulmonary bypass(CPB)management for aortic arch surgery.Methods All of the 42 patients were scheduled for aortic arch surgery with deep hypothermic circulatory arrest(DHCA)plus selective cerebral perfusion(SCP)techniques.The technique of double arterial lines with single pump head was employed for all of the patients,too.An arterial perfusion cannula was inserted into the femoral artery for cardiopulmonary bypass and the right subclavian artery was also cannulated for selective cerebral perfusion for 28 patients.1～3 aerocyst catheter was/were inserted into brachiocephalic trunk for cerebral perfusion when circulation was arrested for the other 14 patients.Results One patient could not regain consciousness after operation and WaS discharged a week after operation for whose relatives gave up the treatment.One patient'S innominate artery was occluded on the seventh day after operation and who suffered with a coma caused by cerebral infarction.The other patients experienced an uneventful recovery and discharge without any one complication relating to cardiopulmonary bypass.Conclusion The technique of DHCA plus SCP iS safe and effective in the surgery of aortic arch.