Hypothermic circulatory arrest through a left thoracotomy in a 12-year-old child with aortic coarctation

Toshihiko Ueda, Shinichi Taguchi, Yoshito Inoue, Ichiro Kashima

Research output: Contribution to journalArticle

Abstract

Surgical correction of adult complex aortic coarctation using hypothermic circulatory arrest often requires central cannulation to secure cerebral perfusion. It is not easy to place the cannula in the ascending aorta, however, especially in children undergoing surgery through a left thoracotomy. In a 12-year-old male with hypoplastic distal aortic arch, we placed an arterial cannula in the ascending aorta using the Seldinger puncture technique through the stenotic segment of the distal aortic arch. Replacement of the stenotic segment with a 20 mm-size Dacron graft was then routine. The ascending aorta was exposed only for the proximal anastomosis. The left subclavian artery was also reconstructed. This central cannulation technique is simple and is useful in repairing complex aortic coarctation.

Original languageEnglish
Pages (from-to)85-86
Number of pages2
JournalInteractive cardiovascular and thoracic surgery
Volume6
Issue number1
DOIs
Publication statusPublished - 2007 Feb 1

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Keywords

  • Aortic coarctation
  • Central cannulation
  • Hypothermic circulatory arrest
  • Seldinger technique

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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